Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $794.33	Professional		$478.63	$630.96	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $630.96	Professional		$467.74	$524.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $724.44 / $1,584.89	Facility		$676.08	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $933.25	Professional		$407.38	$537.03	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $831.76	Professional		$426.58	$501.19	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $912.01	Professional		$380.19	$489.78	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $691.83	Professional		$398.11	$478.63	$691.83