Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $609.10 / $671.32	Professional		$531.85	$609.10	$671.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $662.07 / $728.28	Professional		$550.00	$662.07	$728.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $926.26	Facility		$507.00	$518.54	$926.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.53 / $785.43 / $1,363.53	Professional		$535.53	$785.43	$1,363.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.66 / $827.75 / $1,083.42	Professional		$641.66	$827.75	$1,083.42
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $675.00 / $1,284.31	Professional		$466.37	$675.00	$1,284.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.69 / $737.92 / $906.14	Professional		$532.69	$737.92	$906.14