Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $853.65 / $907.39	Professional		$748.75	$853.65	$907.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $846.02 / $973.00	Professional		$725.00	$846.02	$973.00
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 $777.81 / $1,079.10 / $1,981.86	Professional		$777.81	$1,079.10	$1,981.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.97 / $1,145.48 / $1,513.49	Professional		$887.97	$1,145.48	$1,513.49
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 $640.91 / $897.51 / $1,582.51	Professional		$640.91	$897.51	$1,582.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $748.02 / $1,021.17 / $1,254.11	Professional		$748.02	$1,021.17	$1,254.11