Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.44 / $567.66 / $737.92	Professional		$320.44	$567.66	$737.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.62 / $364.62 / $461.12	Professional		$320.62	$364.62	$461.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $873.24	Facility		$330.00	$339.05	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.79 / $728.02 / $1,566.80	Professional		$368.79	$728.02	$1,566.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.34 / $1,196.16 / $1,425.56	Professional		$921.34	$1,196.16	$1,425.56
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.02 / $714.72 / $1,225.94	Professional		$489.02	$714.72	$1,225.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.86 / $1,083.14 / $1,316.21	Professional		$544.86	$1,083.14	$1,316.21