Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $810.62 / $971.03	Professional		$621.76	$810.62	$971.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $133.44 / $133.44	Professional		$133.44	$133.44	$133.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.59 / $1,034.49 / $1,967.61	Professional		$688.59	$1,034.49	$1,967.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.24 / $968.30 / $1,341.77	Professional		$788.24	$968.30	$1,341.77
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.15 / $1,022.01 / $1,611.16	Professional		$638.15	$1,022.01	$1,611.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.50 / $506.50 / $506.50	Professional		$506.50	$506.50	$506.50