Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $3,311.31	Professional		$758.58	$891.25	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,202.26	Professional		$851.14	$954.99	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $4,677.35	Facility		$707.95	$724.44	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,905.46	Professional		$794.33	$1,071.52	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,513.56	Professional		$831.76	$933.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $3,548.13	Facility		$812.83	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,737.80	Professional		$707.95	$954.99	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,288.25	Professional		$812.83	$1,000.00	$1,288.25