Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $1,049.03 / $1,126.99	Professional		$653.12	$1,049.03	$1,126.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $864.31 / $937.18	Professional		$610.00	$864.31	$937.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,575.38	Facility		$424.00	$449.41	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.83 / $829.70 / $1,538.05	Professional		$643.83	$829.70	$1,538.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.62 / $1,002.80 / $1,316.43	Professional		$877.62	$1,002.80	$1,316.43
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 $567.72 / $755.72 / $1,405.98	Professional		$567.72	$755.72	$1,405.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $584.82 / $919.24 / $1,009.26	Professional		$584.82	$919.24	$1,009.26