Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.39 / $769.33 / $839.40	Professional		$667.39	$769.33	$839.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $767.65 / $815.51 / $897.06	Professional		$767.65	$815.51	$897.06
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 $714.90 / $1,010.18 / $1,716.60	Professional		$714.90	$1,010.18	$1,716.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.42 / $1,028.83 / $1,472.64	Professional		$797.42	$1,028.83	$1,472.64
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 $583.84 / $825.17 / $1,558.78	Professional		$583.84	$825.17	$1,558.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $719.56 / $917.18 / $1,125.95	Professional		$719.56	$917.18	$1,125.95