Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $835.44 / $2,000.99	Professional		$678.17	$835.44	$2,000.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $827.29 / $1,282.30	Professional		$725.00	$827.29	$1,282.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $3,018.07 / $3,914.00	Facility		$818.00	$3,018.07	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.25 / $898.31 / $1,616.28	Professional		$617.25	$898.31	$1,616.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.82 / $912.27 / $1,326.94	Professional		$734.82	$912.27	$1,326.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,679.00 / $3,590.00	Facility		$1,236.00	$1,679.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.91 / $834.91 / $1,395.70	Professional		$628.91	$834.91	$1,395.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.85 / $892.53 / $1,102.23	Professional		$589.85	$892.53	$1,102.23