Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.43 / $856.13 / $929.53	Professional		$741.43	$856.13	$929.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $905.44 / $1,000.00	Professional		$900.00	$905.44	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $3,314.62	Facility		$627.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.64 / $1,109.68 / $1,912.41	Professional		$752.64	$1,109.68	$1,912.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.83 / $1,144.13 / $1,493.60	Professional		$886.83	$1,144.13	$1,493.60
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 $631.66 / $906.14 / $1,705.64	Professional		$631.66	$906.14	$1,705.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.06 / $1,019.96 / $1,252.44	Professional		$758.06	$1,019.96	$1,252.44