Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.27 / $539.54 / $883.18	Professional		$474.27	$539.54	$883.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $554.46 / $579.71 / $637.67	Professional		$554.46	$579.71	$637.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.99 / $716.31 / $1,233.65	Professional		$488.99	$716.31	$1,233.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.73 / $740.11 / $970.11	Professional		$573.73	$740.11	$970.11
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 $407.75 / $578.55 / $1,124.78	Professional		$407.75	$578.55	$1,124.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.75 / $659.79 / $810.15	Professional		$495.75	$659.79	$810.15