Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.04 / $884.29 / $4,432.75	Professional		$765.04	$884.29	$4,432.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $920.34 / $920.34 / $1,130.00	Professional		$920.34	$920.34	$1,130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $4,706.78	Facility		$715.00	$728.96	$4,706.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.16 / $1,142.72 / $1,945.02	Professional		$815.16	$1,142.72	$1,945.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.47 / $1,162.36 / $1,516.58	Professional		$900.47	$1,162.36	$1,516.58
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 $660.80 / $947.49 / $1,629.24	Professional		$660.80	$947.49	$1,629.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $820.25 / $1,036.22 / $1,272.47	Professional		$820.25	$1,036.22	$1,272.47