Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.29 / $933.71 / $978.97	Professional		$625.29	$933.71	$978.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $708.88 / $783.59 / $822.77	Professional		$708.88	$783.59	$822.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $980.44 / $1,205.38	Facility		$926.00	$980.44	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.32 / $798.99 / $1,381.36	Professional		$601.32	$798.99	$1,381.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.41 / $918.39 / $1,197.90	Professional		$796.41	$918.39	$1,197.90
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 $528.07 / $655.16 / $1,327.53	Professional		$528.07	$655.16	$1,327.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.59 / $581.59 / $581.59	Professional		$581.59	$581.59	$581.59