Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $863.12 / $918.46	Professional		$727.92	$863.12	$918.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $736.93 / $736.93 / $982.80	Professional		$736.93	$736.93	$982.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.18 / $1,059.27 / $1,972.65	Professional		$729.18	$1,059.27	$1,972.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $893.88 / $1,153.10 / $1,525.07	Professional		$893.88	$1,153.10	$1,525.07
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 $623.61 / $887.36 / $1,653.51	Professional		$623.61	$887.36	$1,653.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.74 / $1,027.96 / $1,262.60	Professional		$674.74	$1,027.96	$1,262.60