Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $514.76 / $683.41	Professional		$421.82	$514.76	$683.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $535.64 / $830.24	Professional		$481.55	$535.64	$830.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $599.00 / $2,530.00	Facility		$514.80	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.54 / $557.53 / $990.05	Professional		$403.54	$557.53	$990.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.38 / $568.58 / $761.13	Professional		$449.38	$568.58	$761.13
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.86 / $517.16 / $956.77	Professional		$379.86	$517.16	$956.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $369.66 / $544.89 / $674.07	Professional		$369.66	$544.89	$674.07