Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.42 / $852.16 / $927.75	Professional		$736.42	$852.16	$927.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $878.24 / $878.24 / $1,240.00	Professional		$878.24	$878.24	$1,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $10,164.76	Facility		$715.00	$728.96	$10,164.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.19 / $1,099.72 / $1,900.47	Professional		$772.19	$1,099.72	$1,900.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.33 / $1,135.63 / $1,484.50	Professional		$880.33	$1,135.63	$1,484.50
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 $653.85 / $994.10 / $1,780.49	Professional		$653.85	$994.10	$1,780.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $784.40 / $1,012.38 / $1,245.42	Professional		$784.40	$1,012.38	$1,245.42