Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.78 / $475.95 / $526.61	Professional		$398.78	$475.95	$526.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $517.03 / $555.47	Professional		$445.00	$517.03	$555.47
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 $430.56 / $613.52 / $1,217.98	Professional		$430.56	$613.52	$1,217.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $677.53 / $895.95	Professional		$525.22	$677.53	$895.95
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 $373.71 / $528.94 / $969.46	Professional		$373.71	$528.94	$969.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.87 / $604.00 / $742.26	Professional		$430.87	$604.00	$742.26