Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $574.26 / $636.97	Professional		$505.00	$574.26	$636.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $629.04 / $691.96	Professional		$566.15	$629.04	$691.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.93 / $763.96 / $1,294.22	Professional		$508.93	$763.96	$1,294.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.87 / $788.02 / $1,032.29	Professional		$610.87	$788.02	$1,032.29
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.87 / $609.70 / $1,182.33	Professional		$434.87	$609.70	$1,182.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $702.50 / $862.57	Professional		$512.58	$702.50	$862.57