Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.09 / $751.78 / $978.37	Professional		$616.09	$751.78	$978.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $696.42 / $954.10	Professional		$640.00	$696.42	$954.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $749.26 / $3,559.00	Facility		$715.00	$749.26	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $799.27 / $1,511.61	Professional		$580.54	$799.27	$1,511.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.37 / $833.62 / $1,116.38	Professional		$652.37	$833.62	$1,116.38
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 $542.29 / $728.39 / $1,265.40	Professional		$542.29	$728.39	$1,265.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $802.40 / $978.56	Professional		$528.16	$802.40	$978.56