Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.37 / $727.64 / $837.82	Professional		$654.37	$727.64	$837.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $755.13 / $825.16 / $924.18	Professional		$755.13	$825.16	$924.18
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 $636.95 / $878.32 / $1,653.74	Professional		$636.95	$878.32	$1,653.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.75 / $960.73 / $1,249.47	Professional		$744.75	$960.73	$1,249.47
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.46 / $812.65 / $1,375.98	Professional		$578.46	$812.65	$1,375.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $600.61 / $856.46 / $1,073.52	Professional		$600.61	$856.46	$1,073.52