Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $2,398.83	Professional		$776.25	$933.25	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,288.25	Professional		$912.01	$1,000.00	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,041.74	Professional		$831.76	$1,122.02	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,621.81	Professional		$870.96	$954.99	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $870.96 / $2,884.03	Facility		$776.25	$870.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,862.09	Professional		$724.44	$1,023.29	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,318.26	Professional		$851.14	$1,047.13	$1,318.26