Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $553.47 / $706.43	Professional		$444.68	$553.47	$706.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $497.95 / $497.95 / $856.47	Professional		$497.95	$497.95	$856.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,474.16 / $2,476.59	Facility		$629.00	$1,474.16	$2,476.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.05 / $618.67 / $1,150.94	Professional		$448.05	$618.67	$1,150.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.71 / $622.75 / $1,017.80	Professional		$495.71	$622.75	$1,017.80
United Facility/Professional Facility Modifier Low / Median / High Price $857.00 / $1,379.00 / $3,219.00	Facility		$857.00	$1,379.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $565.30 / $1,021.80	Professional		$421.34	$565.30	$1,021.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.89 / $619.45 / $756.47	Professional		$379.89	$619.45	$756.47