Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.13 / $616.63 / $820.52	Professional		$413.13	$616.63	$820.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $539.41 / $616.53	Professional		$400.72	$539.41	$616.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $3,527.09	Facility		$445.00	$453.73	$3,527.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.96 / $721.29 / $1,499.55	Professional		$376.96	$721.29	$1,499.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $961.36 / $1,382.51	Professional		$739.50	$961.36	$1,382.51
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 $514.05 / $822.20 / $1,534.27	Professional		$514.05	$822.20	$1,534.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $559.25 / $857.03 / $1,056.44	Professional		$559.25	$857.03	$1,056.44