Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.69 / $955.25 / $1,030.85	Professional		$812.69	$955.25	$1,030.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.96 / $960.36 / $1,056.40	Professional		$935.96	$960.36	$1,056.40
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 $870.23 / $1,257.50 / $2,100.09	Professional		$870.23	$1,257.50	$2,100.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.52 / $1,254.16 / $1,758.69	Professional		$970.52	$1,254.16	$1,758.69
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 $763.08 / $1,081.68 / $1,968.39	Professional		$763.08	$1,081.68	$1,968.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $917.79 / $1,118.05 / $1,372.77	Professional		$917.79	$1,118.05	$1,372.77