Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.27 / $556.74 / $714.74	Professional		$386.27	$556.74	$714.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $466.28 / $467.47 / $499.16	Professional		$466.28	$467.47	$499.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $634.82 / $1,018.46	Facility		$599.00	$634.82	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.84 / $522.32 / $976.76	Professional		$394.84	$522.32	$976.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.91 / $645.10 / $846.39	Professional		$532.91	$645.10	$846.39
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 $413.45 / $517.05 / $1,060.95	Professional		$413.45	$517.05	$1,060.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $586.97 / $645.10	Professional		$346.19	$586.97	$645.10