Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.31 / $768.28 / $880.59	Professional		$670.31	$768.28	$880.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $762.85 / $1,110.00	Professional		$716.68	$762.85	$1,110.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.61 / $901.11 / $1,709.64	Professional		$621.61	$901.11	$1,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.10 / $1,061.79 / $1,381.22	Professional		$820.10	$1,061.79	$1,381.22
United Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $471.00	Facility		$173.00	$173.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $820.91 / $1,496.99	Professional		$564.82	$820.91	$1,496.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $946.55 / $1,162.28	Professional		$622.04	$946.55	$1,162.28