Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.96 / $739.42 / $807.79	Professional		$641.96	$739.42	$807.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $784.86 / $863.35	Professional		$739.76	$784.86	$863.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $1,490.90	Facility		$330.00	$339.05	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.61 / $967.82 / $1,652.87	Professional		$667.61	$967.82	$1,652.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.14 / $989.61 / $1,292.29	Professional		$767.14	$989.61	$1,292.29
United Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $643.00 / $1,185.00	Facility		$588.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.84 / $815.31 / $1,517.51	Professional		$557.84	$815.31	$1,517.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.45 / $882.21 / $1,083.35	Professional		$674.45	$882.21	$1,083.35