Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $705.50 / $785.24	Professional		$620.87	$705.50	$785.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $692.57 / $692.57 / $802.78	Professional		$692.57	$692.57	$802.78
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 $627.44 / $922.94 / $1,611.84	Professional		$627.44	$922.94	$1,611.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.79 / $965.94 / $1,262.42	Professional		$748.79	$965.94	$1,262.42
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 $545.96 / $763.67 / $1,411.27	Professional		$545.96	$763.67	$1,411.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $628.79 / $861.11 / $1,057.49	Professional		$628.79	$861.11	$1,057.49