Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $604.38 / $835.90	Professional		$414.90	$604.38	$835.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $485.76 / $508.56 / $533.99	Professional		$485.76	$508.56	$533.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,205.38	Facility		$424.00	$449.41	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $584.75 / $1,112.42	Professional		$426.42	$584.75	$1,112.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $745.19 / $979.25	Professional		$620.19	$745.19	$979.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.18 / $613.22 / $1,199.46	Professional		$485.18	$613.22	$1,199.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.36 / $683.09 / $750.75	Professional		$376.36	$683.09	$750.75