Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.18 / $945.57 / $1,019.54	Professional		$809.18	$945.57	$1,019.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $984.46 / $984.46 / $1,350.00	Professional		$984.46	$984.46	$1,350.00
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 $870.23 / $1,264.31 / $2,054.51	Professional		$870.23	$1,264.31	$2,054.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,241.66 / $1,626.66	Professional		$961.30	$1,241.66	$1,626.66
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 $748.35 / $1,032.55 / $1,741.43	Professional		$748.35	$1,032.55	$1,741.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $927.36 / $1,106.91 / $1,359.12	Professional		$927.36	$1,106.91	$1,359.12