Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $429.29 / $800.40	Professional		$180.58	$429.29	$800.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $202.09 / $388.97	Professional		$199.34	$202.09	$388.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $799.18 / $1,499.61	Facility		$582.00	$799.18	$1,499.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $496.68 / $1,077.93	Professional		$182.53	$496.68	$1,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.50 / $669.54 / $1,039.82	Professional		$456.50	$669.54	$1,039.82
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 $508.20 / $687.10 / $1,142.73	Professional		$508.20	$687.10	$1,142.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.56 / $644.40 / $795.18	Professional		$431.56	$644.40	$795.18