Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.05 / $470.20 / $497.06	Professional		$406.05	$470.20	$497.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.56 / $508.40 / $645.66	Professional		$457.56	$508.40	$645.66
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 $436.66 / $609.11 / $1,031.46	Professional		$436.66	$609.11	$1,031.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.44 / $617.69 / $802.43	Professional		$476.44	$617.69	$802.43
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 $368.84 / $488.35 / $861.51	Professional		$368.84	$488.35	$861.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.94 / $550.65 / $672.96	Professional		$438.94	$550.65	$672.96