Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.65 / $762.05 / $995.67	Professional		$614.65	$762.05	$995.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $708.87 / $748.70 / $1,287.76	Professional		$708.87	$748.70	$1,287.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,490.98 / $4,960.85	Facility		$629.00	$3,490.98	$4,960.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.04 / $814.88 / $1,477.83	Professional		$571.04	$814.88	$1,477.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.66 / $815.30 / $1,374.28	Professional		$655.66	$815.30	$1,374.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,234.00 / $1,679.00 / $3,416.00	Facility		$1,234.00	$1,679.00	$3,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $733.66 / $1,242.23	Professional		$546.79	$733.66	$1,242.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $536.96 / $796.59 / $983.49	Professional		$536.96	$796.59	$983.49