Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.68 / $806.32 / $871.51	Professional		$692.68	$806.32	$871.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $851.54 / $1,022.55	Professional		$805.00	$851.54	$1,022.55
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 $716.23 / $1,041.36 / $1,789.75	Professional		$716.23	$1,041.36	$1,789.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.84 / $1,071.63 / $1,397.63	Professional		$829.84	$1,071.63	$1,397.63
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 $616.27 / $862.50 / $1,629.46	Professional		$616.27	$862.50	$1,629.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $727.97 / $955.33 / $1,172.90	Professional		$727.97	$955.33	$1,172.90