Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $917.12 / $972.92	Professional		$744.72	$917.12	$972.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $943.89 / $1,043.08	Professional		$810.00	$943.89	$1,043.08
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 $832.64 / $1,168.56 / $2,126.40	Professional		$832.64	$1,168.56	$2,126.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.03 / $1,229.41 / $1,621.52	Professional		$953.03	$1,229.41	$1,621.52
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 $706.07 / $1,027.96 / $1,919.18	Professional		$706.07	$1,027.96	$1,919.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.56 / $1,095.98 / $1,346.15	Professional		$811.56	$1,095.98	$1,346.15