Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.53 / $754.08 / $828.40	Professional		$653.53	$754.08	$828.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $880.23 / $968.25	Professional		$775.00	$880.23	$968.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.03 / $979.73 / $1,693.90	Professional		$677.03	$979.73	$1,693.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.93 / $1,049.97 / $1,372.30	Professional		$813.93	$1,049.97	$1,372.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $2,156.00 / $3,522.00	Facility		$1,003.00	$2,156.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.25 / $799.21 / $1,586.16	Professional		$563.25	$799.21	$1,586.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $936.02 / $1,149.15	Professional		$674.00	$936.02	$1,149.15