Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.50 / $532.57 / $841.46	Professional		$462.50	$532.57	$841.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $566.30 / $622.94	Professional		$499.00	$566.30	$622.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.30 / $672.48 / $1,295.24	Professional		$475.30	$672.48	$1,295.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $760.18 / $1,004.45	Professional		$589.29	$760.18	$1,004.45
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.73 / $595.48 / $1,063.88	Professional		$398.73	$595.48	$1,063.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.87 / $677.68 / $832.50	Professional		$469.87	$677.68	$832.50