Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.08 / $813.71 / $941.82	Professional		$715.08	$813.71	$941.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $631.79 / $850.75 / $935.83	Professional		$631.79	$850.75	$935.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,490.90	Facility		$445.00	$453.73	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,084.15 / $2,053.83	Professional		$759.05	$1,084.15	$2,053.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.62 / $1,248.23 / $1,638.82	Professional		$967.62	$1,248.23	$1,638.82
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.34 / $1,004.55 / $1,822.77	Professional		$685.34	$1,004.55	$1,822.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $709.04 / $1,112.76 / $1,361.30	Professional		$709.04	$1,112.76	$1,361.30