Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.05 / $535.97 / $576.76	Professional		$463.05	$535.97	$576.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $497.63 / $552.91 / $608.21	Professional		$497.63	$552.91	$608.21
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 $466.94 / $665.63 / $1,207.42	Professional		$466.94	$665.63	$1,207.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.37 / $724.17 / $1,066.25	Professional		$561.37	$724.17	$1,066.25
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 $386.90 / $556.83 / $1,079.92	Professional		$386.90	$556.83	$1,079.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.50 / $645.58 / $792.57	Professional		$463.50	$645.58	$792.57