Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $798.94 / $853.40	Professional		$689.33	$798.94	$853.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $835.55 / $835.55 / $984.16	Professional		$835.55	$835.55	$984.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.15 / $1,081.25 / $1,757.17	Professional		$740.15	$1,081.25	$1,757.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,051.31 / $1,536.30	Professional		$814.80	$1,051.31	$1,536.30
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,560.00 / $2,882.00	Facility		$847.00	$1,560.00	$2,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.49 / $938.39 / $1,592.93	Professional		$637.49	$938.39	$1,592.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $795.79 / $937.22 / $1,150.97	Professional		$795.79	$937.22	$1,150.97