Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.60 / $934.57 / $1,736.17	Professional		$673.60	$934.57	$1,736.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $662.12 / $697.09 / $1,064.80	Professional		$662.12	$697.09	$1,064.80
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 $675.11 / $977.89 / $1,956.68	Professional		$675.11	$977.89	$1,956.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.96 / $1,242.22 / $1,537.20	Professional		$962.96	$1,242.22	$1,537.20
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 $573.33 / $807.98 / $1,552.95	Professional		$573.33	$807.98	$1,552.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.55 / $1,107.40 / $1,360.28	Professional		$589.55	$1,107.40	$1,360.28