Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $476.31 / $872.68	Professional		$419.82	$476.31	$872.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.60 / $485.60 / $621.57	Professional		$485.60	$485.60	$621.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $1,134.73	Facility		$507.00	$641.21	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.22 / $637.99 / $1,178.00	Professional		$457.22	$637.99	$1,178.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.54 / $657.31 / $949.65	Professional		$509.54	$657.31	$949.65
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.02 / $526.64 / $997.01	Professional		$386.02	$526.64	$997.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.57 / $585.97 / $719.42	Professional		$474.57	$585.97	$719.42