Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $464.41 / $948.91	Professional		$329.62	$464.41	$948.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.28 / $403.28 / $476.79	Professional		$403.28	$403.28	$476.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $668.69	Facility		$627.00	$641.21	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.33 / $565.27 / $1,153.89	Professional		$369.33	$565.27	$1,153.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.96 / $690.10 / $917.44	Professional		$534.96	$690.10	$917.44
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.22 / $563.55 / $1,029.52	Professional		$415.22	$563.55	$1,029.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.08 / $615.20 / $764.34	Professional		$488.08	$615.20	$764.34