Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.51 / $753.49 / $826.66	Professional		$655.51	$753.49	$826.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.41 / $841.41 / $1,060.00	Professional		$841.41	$841.41	$1,060.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.07 / $985.53 / $1,684.51	Professional		$687.07	$985.53	$1,684.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.28 / $1,008.59 / $1,315.84	Professional		$781.28	$1,008.59	$1,315.84
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 $593.98 / $829.17 / $1,681.47	Professional		$593.98	$829.17	$1,681.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $899.13 / $1,103.82	Professional		$699.20	$899.13	$1,103.82