Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.82 / $793.78 / $844.89	Professional		$695.82	$793.78	$844.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $789.77 / $807.60 / $905.84	Professional		$789.77	$807.60	$905.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $4,201.17	Facility		$507.00	$518.54	$4,201.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.45 / $1,005.89 / $1,814.85	Professional		$711.45	$1,005.89	$1,814.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.69 / $1,062.56 / $1,405.74	Professional		$823.69	$1,062.56	$1,405.74
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 $604.61 / $836.23 / $1,467.00	Professional		$604.61	$836.23	$1,467.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $689.44 / $947.24 / $1,163.49	Professional		$689.44	$947.24	$1,163.49