Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $954.99	Professional		$467.74	$537.03	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $724.44	Professional		$512.86	$575.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,000.00	Facility		$645.65	$645.65	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,174.90	Professional		$489.78	$660.69	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $912.01	Professional		$489.78	$549.54	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $524.81 / $1,621.81	Facility		$478.63	$524.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,047.13	Professional		$416.87	$588.84	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $758.58	Professional		$501.19	$588.84	$758.58