Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.95 / $544.91 / $798.80	Professional		$409.95	$544.91	$798.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $458.38 / $458.68 / $575.49	Professional		$458.38	$458.68	$575.49
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 $396.34 / $552.64 / $1,033.99	Professional		$396.34	$552.64	$1,033.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.84 / $714.01 / $1,004.60	Professional		$589.84	$714.01	$1,004.60
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 $436.15 / $578.41 / $1,068.36	Professional		$436.15	$578.41	$1,068.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $339.57 / $649.21 / $714.01	Professional		$339.57	$649.21	$714.01