Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Professional		$446.68	$446.68	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $512.86	Professional		$446.68	$446.68	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $1,412.54	Professional		$131.83	$186.21	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $1,148.15	Professional		$125.89	$478.63	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17