Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.25 / $812.53 / $912.82	Professional		$715.25	$812.53	$912.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $989.39 / $1,021.69 / $1,099.33	Professional		$989.39	$1,021.69	$1,099.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.41 / $1,113.02 / $1,845.42	Professional		$756.41	$1,113.02	$1,845.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.73 / $1,067.34 / $1,483.85	Professional		$817.73	$1,067.34	$1,483.85
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 $670.05 / $882.17 / $1,569.51	Professional		$670.05	$882.17	$1,569.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $827.40 / $951.51 / $1,168.19	Professional		$827.40	$951.51	$1,168.19