Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.40 / $710.44 / $781.31	Professional		$614.40	$710.44	$781.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.48 / $753.69 / $916.64	Professional		$707.48	$753.69	$916.64
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 $618.90 / $923.55 / $1,579.88	Professional		$618.90	$923.55	$1,579.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.47 / $941.02 / $1,230.18	Professional		$729.47	$941.02	$1,230.18
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.63 / $768.57 / $1,495.27	Professional		$522.63	$768.57	$1,495.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $838.89 / $1,032.66	Professional		$624.66	$838.89	$1,032.66