Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.82 / $939.23 / $996.98	Professional		$823.82	$939.23	$996.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $915.42 / $962.83 / $1,069.61	Professional		$915.42	$962.83	$1,069.61
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 $846.74 / $1,188.95 / $2,177.71	Professional		$846.74	$1,188.95	$2,177.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.51 / $1,260.99 / $1,664.11	Professional		$977.51	$1,260.99	$1,664.11
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 $716.38 / $1,070.06 / $2,020.63	Professional		$716.38	$1,070.06	$2,020.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $822.89 / $1,124.14 / $1,380.57	Professional		$822.89	$1,124.14	$1,380.57