Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.31 / $762.49 / $883.05	Professional		$688.31	$762.49	$883.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $809.66 / $838.88 / $1,010.00	Professional		$809.66	$838.88	$1,010.00
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 $702.06 / $972.01 / $1,764.14	Professional		$702.06	$972.01	$1,764.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.33 / $1,037.58 / $1,358.90	Professional		$804.33	$1,037.58	$1,358.90
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.86 / $873.01 / $1,507.07	Professional		$606.86	$873.01	$1,507.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.51 / $924.98 / $1,138.31	Professional		$703.51	$924.98	$1,138.31