Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.52 / $612.87 / $667.35	Professional		$531.52	$612.87	$667.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.65 / $639.62 / $703.58	Professional		$575.65	$639.62	$703.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.29 / $801.10 / $1,380.14	Professional		$545.29	$801.10	$1,380.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $826.79 / $1,082.27	Professional		$640.91	$826.79	$1,082.27
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.36 / $639.48 / $1,152.38	Professional		$457.36	$639.48	$1,152.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.12 / $737.06 / $905.18	Professional		$552.12	$737.06	$905.18