Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.92 / $767.75 / $845.10	Professional		$659.92	$767.75	$845.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $795.16 / $874.68	Professional		$725.00	$795.16	$874.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $873.24	Facility		$507.00	$641.21	$873.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.11 / $964.42 / $1,598.15	Professional		$695.11	$964.42	$1,598.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.75 / $1,044.58 / $1,364.86	Professional		$809.75	$1,044.58	$1,364.86
United Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $691.19 / $3,905.54	Facility		$475.00	$691.19	$3,905.54
United Facility/Professional Professional Modifier Low / Median / High Price $561.59 / $835.43 / $1,586.61	Professional		$561.59	$835.43	$1,586.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $704.70 / $931.21 / $1,146.38	Professional		$704.70	$931.21	$1,146.38