Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.20 / $740.59 / $805.85	Professional		$637.20	$740.59	$805.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $783.06 / $861.37	Professional		$760.00	$783.06	$861.37
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 $674.28 / $966.04 / $1,649.79	Professional		$674.28	$966.04	$1,649.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.80 / $987.88 / $1,290.02	Professional		$765.80	$987.88	$1,290.02
United Facility/Professional Facility Modifier Low / Median / High Price $684.95 / $918.00 / $2,156.00	Facility		$684.95	$918.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.57 / $768.62 / $1,382.06	Professional		$555.57	$768.62	$1,382.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $685.53 / $880.67 / $1,081.40	Professional		$685.53	$880.67	$1,081.40