Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $635.95 / $837.46	Professional		$501.67	$635.95	$837.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.41 / $627.41 / $859.55	Professional		$627.41	$627.41	$859.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $629.00 / $1,652.00	Facility		$376.00	$629.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.55 / $689.86 / $1,265.55	Professional		$504.55	$689.86	$1,265.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.58 / $721.22 / $959.10	Professional		$562.58	$721.22	$959.10
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 $463.55 / $624.65 / $1,079.25	Professional		$463.55	$624.65	$1,079.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.43 / $691.70 / $843.87	Professional		$429.43	$691.70	$843.87