Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.33 / $800.20 / $1,686.89	Professional		$602.33	$800.20	$1,686.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $672.61 / $706.24	Professional		$595.34	$672.61	$706.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $1,205.38	Facility		$314.00	$335.55	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.72 / $701.35 / $1,327.10	Professional		$562.72	$701.35	$1,327.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.49 / $864.90 / $1,182.03	Professional		$714.49	$864.90	$1,182.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.78 / $697.47 / $1,497.26	Professional		$553.78	$697.47	$1,497.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $497.81 / $788.49 / $864.90	Professional		$497.81	$788.49	$864.90