Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.66 / $717.16 / $754.96	Professional		$625.66	$717.16	$754.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $752.57 / $752.57 / $851.40	Professional		$752.57	$752.57	$851.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $2,754.30	Facility		$627.00	$641.21	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.73 / $904.06 / $1,599.15	Professional		$591.73	$904.06	$1,599.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.43 / $906.13 / $1,203.08	Professional		$702.43	$906.13	$1,203.08
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 $547.86 / $785.02 / $1,352.02	Professional		$547.86	$785.02	$1,352.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.72 / $807.79 / $997.29	Professional		$691.72	$807.79	$997.29