Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.63 / $582.03 / $634.16	Professional		$505.63	$582.03	$634.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $541.22 / $601.36 / $763.73	Professional		$541.22	$601.36	$763.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.34 / $757.65 / $1,306.83	Professional		$517.34	$757.65	$1,306.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.54 / $788.90 / $1,033.44	Professional		$611.54	$788.90	$1,033.44
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.70 / $626.03 / $1,166.00	Professional		$447.70	$626.03	$1,166.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $515.46 / $703.28 / $863.55	Professional		$515.46	$703.28	$863.55