Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $457.73 / $796.45	Professional		$381.45	$457.73	$796.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $482.32 / $530.54	Professional		$386.34	$482.32	$530.54
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 $387.90 / $568.10 / $1,089.47	Professional		$387.90	$568.10	$1,089.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $658.24 / $872.26	Professional		$510.26	$658.24	$872.26
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 $355.70 / $494.94 / $958.26	Professional		$355.70	$494.94	$958.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $586.79 / $720.81	Professional		$398.00	$586.79	$720.81