Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $454.18 / $682.00	Professional		$325.49	$454.18	$682.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.95 / $373.68 / $579.20	Professional		$306.95	$373.68	$579.20
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 $339.96 / $528.10 / $968.07	Professional		$339.96	$528.10	$968.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.85 / $639.69 / $947.70	Professional		$473.85	$639.69	$947.70
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $554.50 / $1,000.92	Professional		$404.56	$554.50	$1,000.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $633.57 / $781.98	Professional		$375.47	$633.57	$781.98