Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.29 / $572.17 / $655.30	Professional		$502.29	$572.17	$655.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.22 / $627.22 / $1,160.00	Professional		$627.22	$627.22	$1,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.24 / $1,335.00 / $1,362.19	Facility		$873.24	$1,335.00	$1,362.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.49 / $747.27 / $1,240.68	Professional		$522.49	$747.27	$1,240.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.62 / $803.18 / $1,054.82	Professional		$622.62	$803.18	$1,054.82
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.13 / $616.08 / $1,172.18	Professional		$445.13	$616.08	$1,172.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.45 / $716.01 / $890.52	Professional		$524.45	$716.01	$890.52