Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $2,137.96	Professional		$724.44	$891.25	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,230.27	Professional		$676.08	$954.99	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $1,479.11	Facility		$630.96	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,949.84	Professional		$758.58	$1,071.52	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,548.82	Professional		$851.14	$954.99	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $812.83	Facility		$194.98	$436.52	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,778.28	Professional		$660.69	$954.99	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,318.26	Professional		$758.58	$1,023.29	$1,318.26