Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.46 / $907.76 / $1,657.56	Professional		$789.46	$907.76	$1,657.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $902.74 / $932.18 / $1,018.89	Professional		$902.74	$932.18	$1,018.89
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 $813.65 / $1,167.31 / $2,043.40	Professional		$813.65	$1,167.31	$2,043.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.60 / $1,192.73 / $1,592.81	Professional		$924.60	$1,192.73	$1,592.81
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 $654.60 / $968.15 / $1,791.91	Professional		$654.60	$968.15	$1,791.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $796.79 / $1,063.29 / $1,306.05	Professional		$796.79	$1,063.29	$1,306.05