Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.49 / $753.17 / $826.26	Professional		$650.49	$753.17	$826.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $874.11 / $961.52	Professional		$720.00	$874.11	$961.52
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 $655.46 / $983.51 / $1,682.25	Professional		$655.46	$983.51	$1,682.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.60 / $1,007.72 / $1,314.69	Professional		$780.60	$1,007.72	$1,314.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.27 / $749.25 / $1,409.39	Professional		$573.27	$749.25	$1,409.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.13 / $898.36 / $1,102.83	Professional		$666.13	$898.36	$1,102.83