Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.04 / $673.00 / $754.58	Professional		$545.04	$673.00	$754.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $673.81 / $689.56 / $800.71	Professional		$673.81	$689.56	$800.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $3,314.62	Facility		$627.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.58 / $867.14 / $1,547.72	Professional		$607.58	$867.14	$1,547.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.94 / $935.17 / $1,241.86	Professional		$724.94	$935.17	$1,241.86
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 $482.92 / $714.61 / $1,240.95	Professional		$482.92	$714.61	$1,240.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.26 / $833.68 / $1,024.00	Professional		$586.26	$833.68	$1,024.00