Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $704.58 / $737.26	Professional		$615.40	$704.58	$737.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $706.70 / $706.70 / $798.60	Professional		$706.70	$706.70	$798.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.74 / $913.71 / $1,565.56	Professional		$644.74	$913.71	$1,565.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.53 / $925.20 / $1,317.29	Professional		$706.53	$925.20	$1,317.29
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.28 / $765.16 / $1,582.61	Professional		$550.28	$765.16	$1,582.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $577.15 / $824.79 / $1,012.55	Professional		$577.15	$824.79	$1,012.55