Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.34 / $641.08 / $767.25	Professional		$551.34	$641.08	$767.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $413.77 / $538.50 / $683.89	Professional		$413.77	$538.50	$683.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $620.64	Facility		$445.00	$453.73	$620.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.11 / $827.13 / $1,629.21	Professional		$528.11	$827.13	$1,629.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.99 / $950.51 / $1,279.79	Professional		$732.99	$950.51	$1,279.79
United Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $471.00 / $2,962.56	Facility		$197.00	$471.00	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $759.12 / $1,455.77	Professional		$512.29	$759.12	$1,455.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $600.47 / $847.35 / $1,047.14	Professional		$600.47	$847.35	$1,047.14