Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.07 / $486.07 / $486.07	Facility		$486.07	$486.07	$486.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $594.32 / $1,090.74	Professional		$505.37	$594.32	$1,090.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $603.47 / $682.43	Professional		$565.00	$603.47	$682.43
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 $515.36 / $752.56 / $1,303.06	Professional		$515.36	$752.56	$1,303.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.16 / $818.07 / $1,074.21	Professional		$634.16	$818.07	$1,074.21
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.23 / $593.17 / $1,155.68	Professional		$429.23	$593.17	$1,155.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $729.28 / $895.68	Professional		$518.40	$729.28	$895.68