Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $723.36 / $1,317.98	Professional		$623.84	$723.36	$1,317.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $693.91 / $863.49 / $949.84	Professional		$693.91	$863.49	$949.84
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 $626.03 / $901.99 / $1,654.48	Professional		$626.03	$901.99	$1,654.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.08 / $976.63 / $1,281.07	Professional		$757.08	$976.63	$1,281.07
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 $542.16 / $757.64 / $1,346.40	Professional		$542.16	$757.64	$1,346.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.51 / $870.64 / $1,069.19	Professional		$635.51	$870.64	$1,069.19