Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $812.83	Professional		$501.19	$602.56	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $602.56 / $707.95	Professional		$549.54	$602.56	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $977.24	Facility		$407.38	$501.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $870.96 / $1,096.48	Professional		$407.38	$870.96	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,148.15	Professional		$724.44	$794.33	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $363.08 / $758.58	Facility		$316.23	$363.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $741.31	Professional		$316.23	$354.81	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $1,148.15	Professional		$295.12	$380.19	$1,148.15