Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.68 / $772.14 / $1,371.35	Professional		$668.68	$772.14	$1,371.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $816.20 / $816.20 / $1,041.33	Professional		$816.20	$816.20	$1,041.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.55 / $1,006.56 / $1,719.53	Professional		$702.55	$1,006.56	$1,719.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.44 / $1,030.13 / $1,344.74	Professional		$798.44	$1,030.13	$1,344.74
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $820.54 / $1,560.15	Professional		$590.04	$820.54	$1,560.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $714.57 / $918.33 / $1,127.42	Professional		$714.57	$918.33	$1,127.42