Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $705.21 / $936.15	Professional		$581.95	$705.21	$936.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.23 / $664.01 / $909.69	Professional		$630.23	$664.01	$909.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,441.78 / $2,213.00	Facility		$525.00	$1,441.78	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.63 / $771.82 / $1,369.20	Professional		$539.63	$771.82	$1,369.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.28 / $776.18 / $1,126.60	Professional		$613.28	$776.18	$1,126.60
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 $523.27 / $719.50 / $1,164.01	Professional		$523.27	$719.50	$1,164.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $515.30 / $743.84 / $919.92	Professional		$515.30	$743.84	$919.92