Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $745.65 / $969.38	Professional		$622.66	$745.65	$969.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.27 / $757.51 / $1,056.73	Professional		$733.27	$757.51	$1,056.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $6,625.60 / $9,415.33	Facility		$599.00	$6,625.60	$9,415.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.85 / $812.71 / $1,546.20	Professional		$585.85	$812.71	$1,546.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.16 / $825.64 / $1,332.13	Professional		$646.16	$825.64	$1,332.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,541.00 / $2,139.00 / $6,125.00	Facility		$1,541.00	$2,139.00	$6,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.59 / $776.69 / $1,437.28	Professional		$573.59	$776.69	$1,437.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $576.20 / $795.18 / $969.68	Professional		$576.20	$795.18	$969.68