Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.84 / $454.23 / $505.80	Professional		$401.84	$454.23	$505.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.47 / $503.37 / $614.29	Professional		$487.47	$503.37	$614.29
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 $418.45 / $609.52 / $1,038.14	Professional		$418.45	$609.52	$1,038.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.97 / $630.77 / $827.49	Professional		$488.97	$630.77	$827.49
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $506.89 / $870.39	Professional		$349.27	$506.89	$870.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.97 / $562.32 / $690.57	Professional		$422.97	$562.32	$690.57