Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.34 / $881.49 / $1,013.50	Professional		$776.34	$881.49	$1,013.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $969.84 / $1,053.32	Professional		$935.00	$969.84	$1,053.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $2,754.30	Facility		$507.00	$518.54	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.46 / $1,152.05 / $1,993.32	Professional		$796.46	$1,152.05	$1,993.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.98 / $1,154.52 / $1,522.77	Professional		$894.98	$1,154.52	$1,522.77
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 $687.86 / $967.04 / $1,860.51	Professional		$687.86	$967.04	$1,860.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $807.67 / $1,029.23 / $1,278.86	Professional		$807.67	$1,029.23	$1,278.86