Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.67 / $864.52 / $964.00	Professional		$763.67	$864.52	$964.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $886.26 / $965.00 / $1,068.07	Professional		$886.26	$965.00	$1,068.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.91 / $1,153.73 / $1,948.20	Professional		$770.91	$1,153.73	$1,948.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.45 / $1,177.84 / $1,535.07	Professional		$911.45	$1,177.84	$1,535.07
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 $678.65 / $1,025.74 / $1,976.93	Professional		$678.65	$1,025.74	$1,976.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.84 / $1,050.02 / $1,289.46	Professional		$779.84	$1,050.02	$1,289.46