Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.28 / $782.62 / $2,003.00	Professional		$671.28	$782.62	$2,003.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $696.14 / $696.14 / $884.10	Professional		$696.14	$696.14	$884.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $3,490.98	Facility		$990.00	$1,012.17	$3,490.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.18 / $923.50 / $1,765.17	Professional		$656.18	$923.50	$1,765.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.89 / $1,009.93 / $1,330.16	Professional		$782.89	$1,009.93	$1,330.16
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.32 / $878.38 / $1,704.43	Professional		$584.32	$878.38	$1,704.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $680.26 / $900.32 / $1,108.09	Professional		$680.26	$900.32	$1,108.09