Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $632.84 / $928.10	Professional		$494.38	$632.84	$928.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $594.79 / $594.79 / $898.15	Professional		$594.79	$594.79	$898.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.60 / $1,474.16 / $2,476.59	Facility		$666.60	$1,474.16	$2,476.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.53 / $676.43 / $1,312.14	Professional		$485.53	$676.43	$1,312.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $561.27 / $750.14 / $1,047.73	Professional		$561.27	$750.14	$1,047.73
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $992.00 / $2,489.00	Facility		$717.00	$992.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.14 / $609.10 / $1,051.31	Professional		$446.14	$609.10	$1,051.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.22 / $718.89 / $877.64	Professional		$445.22	$718.89	$877.64