Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.40 / $694.22 / $943.52	Professional		$522.40	$694.22	$943.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $873.90 / $873.90 / $920.78	Professional		$873.90	$873.90	$920.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,192.50	Facility		$795.00	$795.00	$1,192.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $675.75 / $795.00	Professional		$675.75	$675.75	$795.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,260.64 / $1,400.71 / $1,859.44	Professional		$1,260.64	$1,400.71	$1,859.44
United Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $668.58 / $1,066.46	Professional		$444.07	$668.58	$1,066.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $759.90 / $759.90 / $1,151.58	Professional		$759.90	$759.90	$1,151.58