Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.88 / $468.20 / $513.16	Professional		$405.88	$468.20	$513.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $484.61 / $500.41 / $630.00	Professional		$484.61	$500.41	$630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $1,490.90	Facility		$990.00	$1,012.17	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $610.11 / $1,055.58	Professional		$426.60	$610.11	$1,055.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.34 / $633.83 / $833.37	Professional		$491.34	$633.83	$833.37
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $525.64 / $960.39	Professional		$368.06	$525.64	$960.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $565.04 / $694.01	Professional		$426.84	$565.04	$694.01