Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.48 / $515.19 / $635.62	Professional		$379.48	$515.19	$635.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $473.90 / $596.61	Professional		$473.90	$473.90	$596.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.69 / $642.52 / $1,258.48	Professional		$408.69	$642.52	$1,258.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $752.33 / $997.49	Professional		$583.20	$752.33	$997.49
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 $467.07 / $631.91 / $1,196.53	Professional		$467.07	$631.91	$1,196.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $567.28 / $670.68 / $834.99	Professional		$567.28	$670.68	$834.99