Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.61 / $977.84 / $1,063.65	Professional		$815.61	$977.84	$1,063.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $963.38 / $963.38 / $1,100.00	Professional		$963.38	$963.38	$1,100.00
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 $851.76 / $1,209.06 / $2,165.04	Professional		$851.76	$1,209.06	$2,165.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.55 / $1,292.18 / $1,683.46	Professional		$999.55	$1,292.18	$1,683.46
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 $744.74 / $1,067.29 / $2,061.94	Professional		$744.74	$1,067.29	$2,061.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $868.91 / $1,151.94 / $1,414.37	Professional		$868.91	$1,151.94	$1,414.37