Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $461.23 / $500.28	Professional		$388.06	$461.23	$500.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.20 / $469.36 / $516.29	Professional		$436.20	$469.36	$516.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $873.24	Facility		$445.00	$453.73	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $533.79 / $1,015.33	Professional		$376.79	$533.79	$1,015.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.43 / $642.78 / $834.40	Professional		$495.43	$642.78	$834.40
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $480.37 / $913.96	Professional		$319.11	$480.37	$913.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.88 / $573.02 / $690.90	Professional		$346.88	$573.02	$690.90