Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $593.65 / $648.14	Professional		$515.26	$593.65	$648.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $635.41 / $635.41 / $835.00	Professional		$635.41	$635.41	$835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $791.44	Facility		$507.00	$518.54	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.53 / $734.92 / $1,330.56	Professional		$520.53	$734.92	$1,330.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.25 / $801.41 / $1,049.92	Professional		$621.25	$801.41	$1,049.92
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.67 / $623.26 / $1,204.00	Professional		$450.67	$623.26	$1,204.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.15 / $714.44 / $877.29	Professional		$523.15	$714.44	$877.29