Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $724.44	Professional		$436.52	$524.81	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $588.84	Professional		$416.87	$467.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $758.58	Facility		$309.03	$398.11	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,023.29	Professional		$323.59	$436.52	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $870.96	Professional		$588.84	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $1,949.84	Facility		$245.47	$275.42	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $537.03	Professional		$257.04	$338.84	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $870.96	Professional		$229.09	$295.12	$870.96