Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.97 / $932.65 / $990.90	Professional		$747.97	$932.65	$990.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $835.00 / $937.68 / $1,061.82	Professional		$835.00	$937.68	$1,061.82
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 $808.54 / $1,159.50 / $2,131.05	Professional		$808.54	$1,159.50	$2,131.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.83 / $1,248.50 / $1,648.88	Professional		$967.83	$1,248.50	$1,648.88
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 $663.68 / $1,009.62 / $1,926.35	Professional		$663.68	$1,009.62	$1,926.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $718.22 / $1,113.00 / $1,366.95	Professional		$718.22	$1,113.00	$1,366.95