Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.37 / $871.11 / $994.77	Professional		$768.37	$871.11	$994.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $913.19 / $1,022.77	Professional		$910.00	$913.19	$1,022.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $2,754.30	Facility		$990.00	$1,012.17	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.81 / $1,159.27 / $1,937.92	Professional		$798.81	$1,159.27	$1,937.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.51 / $1,131.99 / $1,496.81	Professional		$877.51	$1,131.99	$1,496.81
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 $656.33 / $974.80 / $1,824.71	Professional		$656.33	$974.80	$1,824.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $810.98 / $1,009.14 / $1,255.75	Professional		$810.98	$1,009.14	$1,255.75