Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.54 / $584.70 / $666.82	Professional		$510.54	$584.70	$666.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $623.29 / $685.62	Professional		$595.34	$623.29	$685.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.66 / $768.38 / $1,325.57	Professional		$524.66	$768.38	$1,325.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.35 / $795.09 / $1,040.93	Professional		$616.35	$795.09	$1,040.93
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 $445.54 / $630.96 / $1,192.16	Professional		$445.54	$630.96	$1,192.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.48 / $708.80 / $870.36	Professional		$528.48	$708.80	$870.36