Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.63 / $927.46 / $987.56	Professional		$820.63	$927.46	$987.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.13 / $970.79 / $1,057.26	Professional		$940.13	$970.79	$1,057.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $4,220.32	Facility		$627.00	$641.21	$4,220.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.36 / $1,222.21 / $2,160.28	Professional		$845.36	$1,222.21	$2,160.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.64 / $1,239.23 / $1,639.90	Professional		$960.64	$1,239.23	$1,639.90
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.84 / $1,008.34 / $1,888.76	Professional		$705.84	$1,008.34	$1,888.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.45 / $1,104.74 / $1,356.96	Professional		$839.45	$1,104.74	$1,356.96