Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.94 / $923.52 / $1,013.09	Professional		$804.94	$923.52	$1,013.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $979.28 / $979.28 / $1,300.00	Professional		$979.28	$979.28	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $4,735.10	Facility		$715.00	$728.96	$4,735.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.93 / $1,209.92 / $2,069.50	Professional		$842.93	$1,209.92	$2,069.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.13 / $1,235.33 / $1,610.32	Professional		$956.13	$1,235.33	$1,610.32
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.92 / $987.59 / $1,732.80	Professional		$698.92	$987.59	$1,732.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $856.98 / $1,101.27 / $1,352.22	Professional		$856.98	$1,101.27	$1,352.22