Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $538.29 / $583.39	Professional		$455.40	$538.29	$583.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.41 / $550.41 / $651.54	Professional		$416.41	$550.41	$651.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $445.00 / $453.73	Facility		$121.72	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.63 / $623.10 / $1,211.56	Professional		$456.63	$623.10	$1,211.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.97 / $741.71 / $975.87	Professional		$574.97	$741.71	$975.87
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 $381.72 / $538.88 / $1,016.43	Professional		$381.72	$538.88	$1,016.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.88 / $661.22 / $811.96	Professional		$421.88	$661.22	$811.96