Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.39 / $766.97 / $1,990.59	Professional		$670.39	$766.97	$1,990.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $770.17 / $770.17 / $870.06	Professional		$770.17	$770.17	$870.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.60 / $994.63 / $1,703.26	Professional		$702.60	$994.63	$1,703.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.74 / $1,007.97 / $1,436.17	Professional		$769.74	$1,007.97	$1,436.17
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $558.13 / $797.80 / $1,449.40	Professional		$558.13	$797.80	$1,449.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $629.02 / $898.58 / $1,103.08	Professional		$629.02	$898.58	$1,103.08