Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.80 / $643.45 / $683.92	Professional		$546.80	$643.45	$683.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $594.38 / $678.29 / $775.28	Professional		$594.38	$678.29	$775.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.34 / $854.22 / $1,397.44	Professional		$585.34	$854.22	$1,397.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.93 / $848.73 / $1,197.58	Professional		$657.93	$848.73	$1,197.58
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $737.85 / $1,223.79	Professional		$498.87	$737.85	$1,223.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $756.62 / $929.15	Professional		$614.54	$756.62	$929.15