Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.08 / $871.79 / $968.66	Professional		$731.08	$871.79	$968.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $1,027.99 / $1,130.79	Professional		$775.00	$1,027.99	$1,130.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $1,335.00	Facility		$518.54	$518.54	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.86 / $1,140.86 / $2,036.37	Professional		$821.86	$1,140.86	$2,036.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.60 / $1,330.42 / $1,718.91	Professional		$1,020.60	$1,330.42	$1,718.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.47 / $966.26 / $1,851.94	Professional		$666.47	$966.26	$1,851.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.30 / $1,186.03 / $1,427.88	Professional		$769.30	$1,186.03	$1,427.88