Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.34 / $810.13 / $859.12	Professional		$590.34	$810.13	$859.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $725.75 / $762.04	Professional		$620.00	$725.75	$762.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $741.41 / $1,197.86	Professional		$552.79	$741.41	$1,197.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.12 / $798.24 / $1,041.18	Professional		$694.12	$798.24	$1,041.18
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 $516.24 / $638.00 / $1,194.80	Professional		$516.24	$638.00	$1,194.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $729.15 / $798.24	Professional		$538.41	$729.15	$798.24