Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.23 / $583.30 / $812.09	Professional		$438.23	$583.30	$812.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $430.10 / $491.38 / $515.95	Professional		$430.10	$491.38	$515.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $634.82 / $1,205.38	Facility		$599.00	$634.82	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.97 / $566.24 / $1,072.91	Professional		$411.97	$566.24	$1,072.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $725.12 / $953.09	Professional		$603.62	$725.12	$953.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,628.00	Facility		$1,009.00	$1,009.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.72 / $572.82 / $1,083.88	Professional		$458.72	$572.82	$1,083.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $477.13 / $503.78 / $730.70	Professional		$477.13	$503.78	$730.70