Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.39 / $603.77 / $659.23	Professional		$522.39	$603.77	$659.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $641.80 / $641.80 / $1,090.00	Professional		$641.80	$641.80	$1,090.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.91 / $795.31 / $1,357.66	Professional		$542.91	$795.31	$1,357.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.04 / $815.33 / $1,068.10	Professional		$632.04	$815.33	$1,068.10
United Facility/Professional Facility Modifier Low / Median / High Price $561.40 / $588.00 / $1,185.00	Facility		$561.40	$588.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.81 / $640.20 / $1,132.76	Professional		$462.81	$640.20	$1,132.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.16 / $726.85 / $892.49	Professional		$552.16	$726.85	$892.49