Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.88 / $1,037.00 / $1,114.35	Professional		$642.88	$1,037.00	$1,114.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $854.97 / $926.27	Professional		$710.00	$854.97	$926.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,575.38	Facility		$485.00	$513.90	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.82 / $823.93 / $1,520.41	Professional		$632.82	$823.93	$1,520.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.42 / $994.65 / $1,301.13	Professional		$867.42	$994.65	$1,301.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.17 / $701.05 / $1,385.33	Professional		$558.17	$701.05	$1,385.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.96 / $908.44 / $997.53	Professional		$575.96	$908.44	$997.53