Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,344.23	Professional		$758.58	$891.25	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,202.26	Professional		$870.96	$954.99	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $3,311.31	Facility		$512.86	$512.86	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,949.84	Professional		$776.25	$1,071.52	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,548.82	Professional		$851.14	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $3,548.13	Facility		$812.83	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,778.28	Professional		$691.83	$977.24	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,288.25	Professional		$776.25	$1,000.00	$1,288.25