Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.14 / $532.47 / $601.46	Professional		$453.14	$532.47	$601.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $542.91 / $578.34	Professional		$498.87	$542.91	$578.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $641.21 / $873.24	Facility		$445.00	$641.21	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.01 / $678.80 / $1,177.20	Professional		$469.01	$678.80	$1,177.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.03 / $707.32 / $914.58	Professional		$543.03	$707.32	$914.58
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 $416.19 / $553.55 / $1,111.36	Professional		$416.19	$553.55	$1,111.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.65 / $630.55 / $769.46	Professional		$474.65	$630.55	$769.46