Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.52 / $499.45 / $543.03	Professional		$431.52	$499.45	$543.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $531.67 / $531.67 / $657.48	Professional		$531.67	$531.67	$657.48
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 $446.99 / $656.28 / $1,120.09	Professional		$446.99	$656.28	$1,120.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.30 / $673.78 / $883.30	Professional		$522.30	$673.78	$883.30
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 $378.94 / $541.79 / $1,023.08	Professional		$378.94	$541.79	$1,023.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.75 / $600.66 / $737.60	Professional		$453.75	$600.66	$737.60