Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.91 / $451.78 / $495.19	Professional		$396.91	$451.78	$495.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $488.61 / $547.24	Professional		$455.00	$488.61	$547.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.82 / $586.37 / $1,017.79	Professional		$402.82	$586.37	$1,017.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.77 / $622.77 / $821.78	Professional		$482.77	$622.77	$821.78
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 $348.89 / $496.08 / $903.43	Professional		$348.89	$496.08	$903.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $555.19 / $684.30	Professional		$403.38	$555.19	$684.30