Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.75 / $724.65 / $1,312.59	Professional		$641.75	$724.65	$1,312.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.47 / $863.90 / $1,097.15	Professional		$841.47	$863.90	$1,097.15
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 $628.60 / $895.87 / $1,657.79	Professional		$628.60	$895.87	$1,657.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.06 / $967.58 / $1,271.38	Professional		$750.06	$967.58	$1,271.38
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 $551.10 / $781.24 / $1,414.37	Professional		$551.10	$781.24	$1,414.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.61 / $862.57 / $1,061.70	Professional		$628.61	$862.57	$1,061.70