Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.91 / $626.71 / $1,105.58	Professional		$428.91	$626.71	$1,105.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $570.91 / $599.95	Professional		$491.63	$570.91	$599.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $429.29	Facility		$314.00	$335.55	$429.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.07 / $629.34 / $1,186.11	Professional		$430.07	$629.34	$1,186.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.22 / $806.96 / $1,059.83	Professional		$671.22	$806.96	$1,059.83
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.94 / $670.80 / $1,237.57	Professional		$529.94	$670.80	$1,237.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.61 / $556.36 / $812.53	Professional		$528.61	$556.36	$812.53