Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $623.66 / $662.02	Professional		$537.98	$623.66	$662.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $617.29 / $668.44 / $712.86	Professional		$617.29	$668.44	$712.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $791.44	Facility		$507.00	$518.54	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.12 / $848.32 / $1,372.98	Professional		$584.12	$848.32	$1,372.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.94 / $824.23 / $1,256.28	Professional		$638.94	$824.23	$1,256.28
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 $498.76 / $755.22 / $1,166.08	Professional		$498.76	$755.22	$1,166.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $612.54 / $734.78 / $902.28	Professional		$612.54	$734.78	$902.28