Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.26 / $872.39 / $1,995.98	Professional		$373.26	$872.39	$1,995.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $467.00 / $743.28	Professional		$433.84	$467.00	$743.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $772.23 / $1,297.34	Facility		$629.00	$772.23	$1,297.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.21 / $777.04 / $3,060.72	Professional		$387.21	$777.04	$3,060.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.00 / $1,111.31 / $1,771.66	Professional		$695.00	$1,111.31	$1,771.66
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.08 / $1,680.92 / $4,195.97	Professional		$882.08	$1,680.92	$4,195.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $1,065.00 / $1,311.53	Professional		$305.61	$1,065.00	$1,311.53