Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $534.47 / $642.75	Professional		$449.72	$534.47	$642.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $494.74 / $549.71 / $698.13	Professional		$494.74	$549.71	$698.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $507.00 / $518.54	Facility		$257.77	$507.00	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.56 / $720.17 / $1,362.73	Professional		$439.56	$720.17	$1,362.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.09 / $791.12 / $1,066.18	Professional		$610.09	$791.12	$1,066.18
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 $430.00 / $642.85 / $1,189.83	Professional		$430.00	$642.85	$1,189.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.36 / $705.26 / $871.56	Professional		$501.36	$705.26	$871.56