Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.63 / $844.05 / $897.45	Professional		$682.63	$844.05	$897.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $865.83 / $961.92	Professional		$840.00	$865.83	$961.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $4,201.17	Facility		$627.00	$641.21	$4,201.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.23 / $1,068.55 / $1,959.03	Professional		$772.23	$1,068.55	$1,959.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.53 / $1,132.01 / $1,496.22	Professional		$877.53	$1,132.01	$1,496.22
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 $651.26 / $938.47 / $1,705.33	Professional		$651.26	$938.47	$1,705.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $745.67 / $1,009.16 / $1,239.45	Professional		$745.67	$1,009.16	$1,239.45