Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $521.51 / $907.43	Professional		$477.63	$521.51	$907.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $552.41 / $572.54 / $817.11	Professional		$552.41	$572.54	$817.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,335.00 / $3,314.62	Facility		$641.21	$1,335.00	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.88 / $784.60 / $1,325.12	Professional		$487.88	$784.60	$1,325.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.09 / $687.69 / $1,041.05	Professional		$533.09	$687.69	$1,041.05
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 $451.42 / $615.38 / $1,109.74	Professional		$451.42	$615.38	$1,109.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.09 / $613.04 / $767.24	Professional		$533.09	$613.04	$767.24