Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $468.79 / $635.09	Professional		$353.70	$468.79	$635.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $379.16 / $407.99 / $559.08	Professional		$379.16	$407.99	$559.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $667.46 / $1,121.33	Facility		$508.00	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.16 / $493.15 / $951.86	Professional		$357.16	$493.15	$951.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.72 / $541.73 / $722.56	Professional		$408.72	$541.73	$722.56
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $478.00 / $1,316.00	Facility		$418.00	$478.00	$1,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.19 / $446.74 / $806.45	Professional		$335.19	$446.74	$806.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $519.16 / $633.63	Professional		$288.27	$519.16	$633.63