Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.24 / $685.50 / $719.07	Professional		$603.24	$685.50	$719.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $822.60 / $937.76	Professional		$731.20	$822.60	$937.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $638.66 / $1,182.77	Facility		$484.42	$638.66	$1,182.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $649.77 / $2,246.21	Professional		$484.42	$649.77	$2,246.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,096.80 / $1,371.00	Professional		$914.00	$1,096.80	$1,371.00
United Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $383.88 / $383.88	Facility		$383.88	$383.88	$383.88
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $434.15 / $831.72	Professional		$383.88	$434.15	$831.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.46 / $457.00 / $846.27	Professional		$356.46	$457.00	$846.27