Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.78 / $703.62 / $852.27	Professional		$596.78	$703.62	$852.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $674.52 / $693.23 / $762.55	Professional		$674.52	$693.23	$762.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.64 / $990.00 / $1,012.17	Facility		$620.64	$990.00	$1,012.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.73 / $919.29 / $1,786.65	Professional		$616.73	$919.29	$1,786.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $1,082.31 / $1,432.34	Professional		$839.00	$1,082.31	$1,432.34
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $914.43 / $1,587.72	Professional		$615.26	$914.43	$1,587.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.15 / $964.85 / $1,191.95	Professional		$616.15	$964.85	$1,191.95