Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.69 / $584.34 / $639.91	Professional		$495.69	$584.34	$639.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.01 / $591.00 / $650.10	Professional		$546.01	$591.00	$650.10
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 $508.79 / $729.00 / $1,463.92	Professional		$508.79	$729.00	$1,463.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.21 / $809.10 / $1,066.45	Professional		$627.21	$809.10	$1,066.45
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $630.14 / $1,161.18	Professional		$446.07	$630.14	$1,161.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.62 / $721.29 / $885.74	Professional		$506.62	$721.29	$885.74