Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.46 / $751.16 / $808.43	Professional		$641.46	$751.16	$808.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.73 / $717.73 / $965.00	Professional		$717.73	$717.73	$965.00
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 $674.79 / $1,005.00 / $1,631.74	Professional		$674.79	$1,005.00	$1,631.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.81 / $989.18 / $1,434.33	Professional		$766.81	$989.18	$1,434.33
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 $587.85 / $864.79 / $1,500.71	Professional		$587.85	$864.79	$1,500.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $725.85 / $881.83 / $1,082.93	Professional		$725.85	$881.83	$1,082.93