Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.61 / $823.23 / $1,093.99	Professional		$654.61	$823.23	$1,093.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.34 / $773.77 / $1,161.48	Professional		$749.34	$773.77	$1,161.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,772.93 / $2,985.38	Facility		$719.00	$1,772.93	$2,985.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.91 / $884.87 / $1,639.57	Professional		$647.91	$884.87	$1,639.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.27 / $934.73 / $1,293.22	Professional		$728.27	$934.73	$1,293.22
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 $611.55 / $826.38 / $1,417.23	Professional		$611.55	$826.38	$1,417.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.71 / $895.78 / $1,092.41	Professional		$524.71	$895.78	$1,092.41