Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $741.75 / $928.83	Professional		$548.12	$741.75	$928.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $231.52 / $231.52	Professional		$231.52	$231.52	$231.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.58 / $903.03 / $1,744.32	Professional		$610.58	$903.03	$1,744.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.32 / $843.10 / $1,168.28	Professional		$686.32	$843.10	$1,168.28
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 $578.85 / $834.65 / $1,569.06	Professional		$578.85	$834.65	$1,569.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $477.20 / $477.20 / $477.20	Professional		$477.20	$477.20	$477.20