Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.11 / $426.89 / $564.65	Professional		$280.11	$426.89	$564.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $342.49 / $442.71	Professional		$342.49	$342.49	$442.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $501.13 / $1,013.55	Professional		$314.24	$501.13	$1,013.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.87 / $642.25 / $856.62	Professional		$497.87	$642.25	$856.62
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.03 / $536.61 / $1,003.86	Professional		$380.03	$536.61	$1,003.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $442.29 / $572.54 / $708.92	Professional		$442.29	$572.54	$708.92