Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $451.60 / $576.66	Professional		$292.66	$451.60	$576.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $361.23 / $397.35	Professional		$246.89	$361.23	$397.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $620.64	Facility		$507.00	$518.54	$620.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $518.78 / $1,088.02	Professional		$318.08	$518.78	$1,088.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.24 / $689.38 / $922.27	Professional		$529.24	$689.38	$922.27
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 $376.79 / $550.69 / $1,106.01	Professional		$376.79	$550.69	$1,106.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.94 / $614.55 / $756.06	Professional		$268.94	$614.55	$756.06