Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.33 / $723.16 / $876.90	Professional		$665.33	$723.16	$876.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $779.12 / $784.43 / $1,190.00	Professional		$779.12	$784.43	$1,190.00
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 $682.05 / $1,012.91 / $1,654.54	Professional		$682.05	$1,012.91	$1,654.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.52 / $962.42 / $1,301.08	Professional		$732.52	$962.42	$1,301.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.42 / $837.74 / $1,499.01	Professional		$607.42	$837.74	$1,499.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $746.06 / $857.97 / $1,046.46	Professional		$746.06	$857.97	$1,046.46