Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $561.70 / $622.41	Professional		$455.43	$561.70	$622.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $683.15 / $778.79	Professional		$607.24	$683.15	$778.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.12 / $398.71 / $706.29	Facility		$385.12	$398.71	$706.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.12 / $539.60 / $1,577.64	Professional		$385.12	$539.60	$1,577.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $948.81 / $1,138.58	Professional		$759.05	$948.81	$1,138.58
United Facility/Professional Facility Modifier Low / Median / High Price $318.80 / $318.80 / $318.80	Facility		$318.80	$318.80	$318.80
United Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $361.05 / $606.89	Professional		$328.96	$361.05	$606.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $379.53 / $603.44	Professional		$296.02	$379.53	$603.44