Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.27 / $898.27 / $1,034.03	Facility		$898.27	$898.27	$1,034.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.44 / $746.95 / $991.69	Professional		$635.44	$746.95	$991.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.41 / $855.15 / $940.67	Professional		$805.41	$855.15	$940.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.30 / $988.41 / $1,645.26	Professional		$684.30	$988.41	$1,645.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.76 / $990.41 / $1,296.89	Professional		$767.76	$990.41	$1,296.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.45 / $849.97 / $1,528.33	Professional		$592.45	$849.97	$1,528.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $711.86 / $882.92 / $1,085.11	Professional		$711.86	$882.92	$1,085.11