Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.27 / $615.20 / $1,526.30	Professional		$528.27	$615.20	$1,526.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $614.58 / $647.15 / $724.81	Professional		$614.58	$647.15	$724.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.78 / $801.85 / $1,370.62	Professional		$572.78	$801.85	$1,370.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.39 / $820.94 / $1,074.26	Professional		$636.39	$820.94	$1,074.26
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,185.00 / $2,229.00	Facility		$643.00	$1,185.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.28 / $670.79 / $1,292.33	Professional		$494.28	$670.79	$1,292.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $574.37 / $731.85 / $898.77	Professional		$574.37	$731.85	$898.77