Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $803.39 / $864.45	Professional		$694.00	$803.39	$864.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.87 / $839.87 / $1,086.61	Professional		$839.87	$839.87	$1,086.61
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 $744.17 / $1,087.33 / $1,766.76	Professional		$744.17	$1,087.33	$1,766.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.18 / $1,056.19 / $1,528.25	Professional		$818.18	$1,056.19	$1,528.25
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 $642.10 / $911.69 / $1,656.68	Professional		$642.10	$911.69	$1,656.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $795.38 / $941.56 / $1,156.29	Professional		$795.38	$941.56	$1,156.29