Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.62 / $728.92 / $797.80	Professional		$632.62	$728.92	$797.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $777.59 / $870.90	Professional		$734.13	$777.59	$870.90
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 $662.26 / $959.43 / $1,638.54	Professional		$662.26	$959.43	$1,638.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.99 / $981.68 / $1,282.54	Professional		$760.99	$981.68	$1,282.54
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 $547.61 / $776.24 / $1,372.18	Professional		$547.61	$776.24	$1,372.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $670.89 / $875.14 / $1,074.58	Professional		$670.89	$875.14	$1,074.58