Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.16 / $802.92 / $1,440.74	Professional		$699.16	$802.92	$1,440.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $807.95 / $860.45 / $946.50	Professional		$807.95	$860.45	$946.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $4,837.47	Facility		$507.00	$518.54	$4,837.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.23 / $1,035.76 / $2,099.21	Professional		$703.23	$1,035.76	$2,099.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.87 / $1,082.80 / $1,622.45	Professional		$838.87	$1,082.80	$1,622.45
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.65 / $889.08 / $1,696.36	Professional		$608.65	$889.08	$1,696.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.48 / $965.29 / $1,185.21	Professional		$753.48	$965.29	$1,185.21