Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $716.10 / $988.21	Professional		$520.60	$716.10	$988.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $577.83 / $642.03 / $1,093.83	Professional		$577.83	$642.03	$1,093.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,018.46	Facility		$424.00	$449.41	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.26 / $640.66 / $1,061.10	Professional		$474.26	$640.66	$1,061.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.15 / $707.42 / $922.73	Professional		$615.15	$707.42	$922.73
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 $441.94 / $537.45 / $1,055.20	Professional		$441.94	$537.45	$1,055.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.47 / $646.10 / $707.42	Professional		$475.47	$646.10	$707.42