Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $521.25 / $559.39	Professional		$430.04	$521.25	$559.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.51 / $525.59 / $568.10	Professional		$489.51	$525.59	$568.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.16 / $655.19 / $1,302.32	Professional		$456.16	$655.19	$1,302.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.34 / $726.71 / $959.54	Professional		$563.34	$726.71	$959.54
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $556.04 / $1,067.84	Professional		$375.02	$556.04	$1,067.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $428.35 / $647.84 / $795.60	Professional		$428.35	$647.84	$795.60