Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.50 / $876.25 / $1,142.49	Professional		$718.50	$876.25	$1,142.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $811.35 / $811.35 / $1,135.89	Professional		$811.35	$811.35	$1,135.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $818.00 / $3,559.00	Facility		$715.00	$818.00	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.32 / $938.16 / $1,816.45	Professional		$686.32	$938.16	$1,816.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.22 / $967.24 / $1,297.68	Professional		$758.22	$967.24	$1,297.68
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 $638.89 / $876.44 / $1,669.79	Professional		$638.89	$876.44	$1,669.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.10 / $932.71 / $1,137.33	Professional		$619.10	$932.71	$1,137.33