Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,995.26	Professional		$645.65	$758.58	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,071.52	Professional		$645.65	$870.96	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,659.59	Professional		$660.69	$912.01	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,318.26	Professional		$724.44	$794.33	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $3,548.13	Facility		$691.83	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,513.56	Professional		$588.84	$831.76	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,096.48	Professional		$660.69	$851.14	$1,096.48