Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $496.46 / $822.75	Professional		$443.30	$496.46	$822.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $514.23 / $569.86	Professional		$500.00	$514.23	$569.86
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 $441.21 / $614.82 / $1,118.19	Professional		$441.21	$614.82	$1,118.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.42 / $684.25 / $898.72	Professional		$530.42	$684.25	$898.72
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 $373.22 / $507.29 / $940.47	Professional		$373.22	$507.29	$940.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $609.99 / $749.03	Professional		$426.00	$609.99	$749.03