Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.98 / $696.14 / $996.05	Professional		$569.98	$696.14	$996.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $642.78 / $649.91 / $996.31	Professional		$642.78	$649.91	$996.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $1,772.93 / $2,985.38	Facility		$1,335.00	$1,772.93	$2,985.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.90 / $731.33 / $1,354.21	Professional		$523.90	$731.33	$1,354.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.12 / $755.67 / $1,072.30	Professional		$603.12	$755.67	$1,072.30
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 $497.22 / $665.51 / $1,237.36	Professional		$497.22	$665.51	$1,237.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.63 / $741.80 / $904.68	Professional		$489.63	$741.80	$904.68