Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.13 / $781.15 / $848.15	Professional		$675.13	$781.15	$848.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $744.50 / $827.23 / $1,050.58	Professional		$744.50	$827.23	$1,050.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $4,439.10	Facility		$445.00	$453.73	$4,439.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.96 / $946.42 / $1,738.34	Professional		$637.96	$946.42	$1,738.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.42 / $1,044.15 / $1,364.35	Professional		$809.42	$1,044.15	$1,364.35
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 $544.14 / $825.34 / $1,587.79	Professional		$544.14	$825.34	$1,587.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $643.84 / $930.83 / $1,142.73	Professional		$643.84	$930.83	$1,142.73