Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $812.83	Professional		$512.86	$616.60	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $707.95	Professional		$549.54	$616.60	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $1,000.00	Facility		$407.38	$512.86	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $1,096.48	Professional		$407.38	$891.25	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,148.15	Professional		$741.31	$812.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $776.25	Facility		$323.59	$363.08	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $741.31	Professional		$323.59	$363.08	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15