Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.02 / $663.78 / $672.75	Professional		$592.02	$663.78	$672.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.60 / $807.30 / $920.32	Professional		$717.60	$807.30	$920.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $589.55 / $1,160.77	Facility		$275.00	$589.55	$1,160.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $637.73 / $2,204.36	Professional		$409.04	$637.73	$2,204.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,076.40 / $1,345.50	Professional		$897.00	$1,076.40	$1,345.50
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $426.08 / $816.25	Professional		$376.74	$426.08	$816.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $358.80 / $448.50	Professional		$349.83	$358.80	$448.50