Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $482.54 / $535.11	Professional		$414.83	$482.54	$535.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $478.79 / $526.66	Professional		$415.00	$478.79	$526.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $791.44	Facility		$445.00	$453.73	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.38 / $608.82 / $1,148.09	Professional		$422.38	$608.82	$1,148.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.15 / $694.21 / $920.43	Professional		$538.15	$694.21	$920.43
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.96 / $502.53 / $1,051.63	Professional		$375.96	$502.53	$1,051.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $420.65 / $618.87 / $760.14	Professional		$420.65	$618.87	$760.14