Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $735.42 / $788.87	Professional		$645.36	$735.42	$788.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $883.15 / $971.47	Professional		$710.00	$883.15	$971.47
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 $645.49 / $941.89 / $1,692.32	Professional		$645.49	$941.89	$1,692.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.02 / $1,001.07 / $1,312.77	Professional		$776.02	$1,001.07	$1,312.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $2,156.00 / $3,522.00	Facility		$1,003.00	$2,156.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.15 / $775.76 / $1,467.38	Professional		$536.15	$775.76	$1,467.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $648.46 / $892.42 / $1,095.61	Professional		$648.46	$892.42	$1,095.61