Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.34 / $576.77 / $665.15	Professional		$498.34	$576.77	$665.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $650.48 / $679.99 / $1,080.00	Professional		$650.48	$679.99	$1,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $641.21 / $873.24	Facility		$330.00	$641.21	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.20 / $715.53 / $1,241.59	Professional		$488.20	$715.53	$1,241.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.17 / $775.52 / $1,015.68	Professional		$601.17	$775.52	$1,015.68
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.70 / $623.70 / $1,097.75	Professional		$422.70	$623.70	$1,097.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.13 / $691.36 / $860.34	Professional		$475.13	$691.36	$860.34