Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.95 / $842.35 / $2,159.54	Professional		$748.95	$842.35	$2,159.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $783.42 / $870.47 / $994.94	Professional		$783.42	$870.47	$994.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $2,916.94	Facility		$507.00	$518.54	$2,916.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $1,070.71 / $1,793.39	Professional		$739.96	$1,070.71	$1,793.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.28 / $1,114.24 / $1,450.58	Professional		$861.28	$1,114.24	$1,450.58
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 $631.22 / $907.55 / $1,664.11	Professional		$631.22	$907.55	$1,664.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.23 / $993.31 / $1,219.71	Professional		$758.23	$993.31	$1,219.71