Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.30 / $627.49 / $716.61	Professional		$551.30	$627.49	$716.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.90 / $670.00 / $734.57	Professional		$621.90	$670.00	$734.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $2,754.30	Facility		$507.00	$518.54	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.24 / $837.38 / $1,418.23	Professional		$583.24	$837.38	$1,418.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.98 / $822.99 / $1,078.88	Professional		$637.98	$822.99	$1,078.88
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.61 / $733.18 / $1,332.30	Professional		$495.61	$733.18	$1,332.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.92 / $733.68 / $907.19	Professional		$609.92	$733.68	$907.19