Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.73 / $809.52 / $863.72	Professional		$710.73	$809.52	$863.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $805.46 / $924.22	Professional		$700.00	$805.46	$924.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.15 / $1,028.24 / $1,883.26	Professional		$729.15	$1,028.24	$1,883.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.18 / $1,081.25 / $1,433.79	Professional		$838.18	$1,081.25	$1,433.79
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $867.12 / $1,585.13	Professional		$605.91	$867.12	$1,585.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $704.50 / $963.91 / $1,183.92	Professional		$704.50	$963.91	$1,183.92