Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.20 / $771.70 / $852.72	Professional		$676.20	$771.70	$852.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $787.96 / $829.44 / $879.21	Professional		$787.96	$829.44	$879.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $3,314.62	Facility		$445.00	$453.73	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.11 / $1,027.80 / $1,756.31	Professional		$704.11	$1,027.80	$1,756.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.32 / $1,053.05 / $1,377.58	Professional		$816.32	$1,053.05	$1,377.58
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.58 / $851.72 / $1,618.04	Professional		$599.58	$851.72	$1,618.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.93 / $938.77 / $1,152.71	Professional		$715.93	$938.77	$1,152.71