Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $569.22 / $625.20	Professional		$500.93	$569.22	$625.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $557.21 / $560.97 / $619.12	Professional		$557.21	$560.97	$619.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $641.21 / $873.24	Facility		$445.00	$641.21	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $716.88 / $1,303.03	Professional		$493.35	$716.88	$1,303.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.54 / $779.87 / $1,154.21	Professional		$604.54	$779.87	$1,154.21
United Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $471.00 / $3,905.54	Facility		$197.00	$471.00	$3,905.54
United Facility/Professional Professional Modifier Low / Median / High Price $425.73 / $611.98 / $1,199.29	Professional		$425.73	$611.98	$1,199.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.80 / $695.23 / $853.79	Professional		$484.80	$695.23	$853.79