Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $600.25 / $636.82	Professional		$429.83	$600.25	$636.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $534.66 / $538.88 / $629.01	Professional		$534.66	$538.88	$629.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $722.49 / $1,575.38	Facility		$682.00	$722.49	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.02 / $547.29 / $887.10	Professional		$427.02	$547.29	$887.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $591.59 / $822.09	Professional		$514.42	$591.59	$822.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.42 / $486.68 / $999.33	Professional		$384.42	$486.68	$999.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $540.79 / $591.59	Professional		$399.68	$540.79	$591.59