Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.67 / $735.25 / $997.82	Professional		$593.67	$735.25	$997.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $668.15 / $716.09 / $1,102.45	Professional		$668.15	$716.09	$1,102.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,772.93 / $2,260.87	Facility		$525.00	$1,772.93	$2,260.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.60 / $797.65 / $1,499.12	Professional		$578.60	$797.65	$1,499.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.75 / $851.84 / $1,179.39	Professional		$663.75	$851.84	$1,179.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,347.00 / $3,219.00	Facility		$1,028.00	$1,347.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.79 / $743.84 / $1,369.44	Professional		$549.79	$743.84	$1,369.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $816.35 / $995.63	Professional		$492.09	$816.35	$995.63