Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $630.16 / $860.38	Professional		$507.91	$630.16	$860.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $574.41 / $664.54 / $956.29	Professional		$574.41	$664.54	$956.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,474.16 / $2,213.00	Facility		$525.00	$1,474.16	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.18 / $651.40 / $1,287.81	Professional		$468.18	$651.40	$1,287.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.61 / $727.50 / $1,015.74	Professional		$539.61	$727.50	$1,015.74
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.39 / $602.67 / $1,133.06	Professional		$428.39	$602.67	$1,133.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $419.19 / $697.19 / $851.16	Professional		$419.19	$697.19	$851.16