Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.67 / $806.71 / $914.20	Professional		$704.67	$806.71	$914.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $844.00 / $1,038.03	Professional		$844.00	$844.00	$1,038.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.80 / $1,041.44 / $2,049.09	Professional		$717.80	$1,041.44	$2,049.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.85 / $1,085.47 / $1,623.50	Professional		$840.85	$1,085.47	$1,623.50
United Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $752.58 / $6,489.22	Facility		$588.00	$752.58	$6,489.22
United Facility/Professional Professional Modifier Low / Median / High Price $611.47 / $905.58 / $1,835.13	Professional		$611.47	$905.58	$1,835.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.17 / $967.67 / $1,188.14	Professional		$724.17	$967.67	$1,188.14