Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $891.25	Professional		$549.54	$676.08	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $776.25	Professional		$602.56	$676.08	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $588.84 / $1,096.48	Facility		$549.54	$588.84	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $1,202.26	Professional		$446.68	$954.99	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,258.93	Professional		$794.33	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $398.11 / $831.76	Facility		$354.81	$398.11	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $812.83	Professional		$354.81	$398.11	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $1,258.93	Professional		$177.83	$223.87	$1,258.93