Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $619.21 / $765.41	Professional		$412.89	$619.21	$765.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $274.17 / $375.61	Professional		$274.17	$274.17	$375.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $649.17 / $6,644.00	Facility		$629.00	$649.17	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.75 / $766.76 / $1,603.97	Professional		$540.75	$766.76	$1,603.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.05 / $658.53 / $937.89	Professional		$536.05	$658.53	$937.89
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 $397.24 / $673.08 / $1,336.61	Professional		$397.24	$673.08	$1,336.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.97 / $178.97 / $178.97	Professional		$178.97	$178.97	$178.97