Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.05 / $541.20 / $690.61	Professional		$450.05	$541.20	$690.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $471.43 / $730.72	Professional		$471.43	$471.43	$730.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,018.07 / $4,939.00	Facility		$629.00	$3,018.07	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $573.91 / $1,021.12	Professional		$428.75	$573.91	$1,021.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.22 / $585.49 / $957.31	Professional		$480.22	$585.49	$957.31
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.10 / $531.76 / $902.16	Professional		$389.10	$531.76	$902.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.49 / $581.30 / $727.37	Professional		$374.49	$581.30	$727.37