Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.21 / $963.53 / $1,053.39	Professional		$832.21	$963.53	$1,053.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $983.23 / $983.23 / $1,175.00	Professional		$983.23	$983.23	$1,175.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $728.96 / $9,481.79	Facility		$507.00	$728.96	$9,481.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.19 / $1,257.50 / $2,149.15	Professional		$881.19	$1,257.50	$2,149.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.38 / $1,284.22 / $1,673.06	Professional		$993.38	$1,284.22	$1,673.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,169.00 / $4,028.00	Facility		$2,169.00	$2,169.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $1,061.43 / $1,955.29	Professional		$739.49	$1,061.43	$1,955.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $895.23 / $1,144.84 / $1,405.53	Professional		$895.23	$1,144.84	$1,405.53