Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.78 / $870.39 / $956.02	Professional		$764.78	$870.39	$956.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $929.84 / $1,041.42	Professional		$925.00	$929.84	$1,041.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.66 / $1,142.10 / $1,951.87	Professional		$789.66	$1,142.10	$1,951.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.49 / $1,165.23 / $1,518.30	Professional		$901.49	$1,165.23	$1,518.30
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.44 / $963.50 / $1,832.42	Professional		$678.44	$963.50	$1,832.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $802.55 / $1,038.77 / $1,275.72	Professional		$802.55	$1,038.77	$1,275.72