Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.89 / $550.41 / $656.87	Professional		$491.89	$550.41	$656.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $541.85 / $581.88 / $640.07	Professional		$541.85	$581.88	$640.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.45 / $767.30 / $1,373.25	Professional		$514.45	$767.30	$1,373.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $725.92 / $1,183.83	Professional		$562.32	$725.92	$1,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.87 / $701.18 / $1,157.97	Professional		$467.87	$701.18	$1,157.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.73 / $647.14 / $794.54	Professional		$562.73	$647.14	$794.54