Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.27 / $356.53 / $428.02	Professional		$244.27	$356.53	$428.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $303.57 / $346.67	Professional		$299.72	$303.57	$346.67
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 $264.17 / $427.59 / $864.95	Professional		$264.17	$427.59	$864.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $534.76 / $717.09	Professional		$414.54	$534.76	$717.09
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $733.00 / $1,628.00	Facility		$520.00	$733.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.02 / $441.16 / $811.01	Professional		$303.02	$441.16	$811.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.28 / $476.72 / $591.09	Professional		$358.28	$476.72	$591.09