Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $586.85 / $630.23	Professional		$506.19	$586.85	$630.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $612.29 / $673.53	Professional		$520.00	$612.29	$673.53
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 $545.26 / $796.93 / $1,291.90	Professional		$545.26	$796.93	$1,291.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.35 / $774.45 / $1,196.81	Professional		$600.35	$774.45	$1,196.81
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.52 / $700.49 / $1,250.02	Professional		$475.52	$700.49	$1,250.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $584.73 / $690.40 / $847.86	Professional		$584.73	$690.40	$847.86