Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.83 / $697.44 / $836.71	Professional		$606.83	$697.44	$836.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $692.63 / $692.63 / $763.76	Professional		$692.63	$692.63	$763.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.44 / $840.23 / $1,513.26	Professional		$568.44	$840.23	$1,513.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.01 / $937.48 / $1,207.59	Professional		$717.01	$937.48	$1,207.59
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.81 / $719.10 / $1,491.84	Professional		$488.81	$719.10	$1,491.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $566.96 / $835.74 / $1,010.73	Professional		$566.96	$835.74	$1,010.73