Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $805.94 / $871.25	Professional		$696.34	$805.94	$871.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $852.21 / $852.21 / $1,140.00	Professional		$852.21	$852.21	$1,140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $4,767.70	Facility		$715.00	$728.96	$4,767.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.10 / $1,055.63 / $1,803.48	Professional		$726.10	$1,055.63	$1,803.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.57 / $1,079.18 / $1,473.18	Professional		$836.57	$1,079.18	$1,473.18
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 $609.78 / $875.91 / $1,653.73	Professional		$609.78	$875.91	$1,653.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $734.99 / $962.06 / $1,181.45	Professional		$734.99	$962.06	$1,181.45