Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.27 / $893.81 / $938.31	Professional		$775.27	$893.81	$938.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $878.13 / $1,005.06	Professional		$765.00	$878.13	$1,005.06
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 $793.21 / $1,118.72 / $2,047.74	Professional		$793.21	$1,118.72	$2,047.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.87 / $1,185.33 / $1,564.70	Professional		$918.87	$1,185.33	$1,564.70
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.02 / $920.93 / $1,745.69	Professional		$691.02	$920.93	$1,745.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $775.86 / $1,056.70 / $1,297.67	Professional		$775.86	$1,056.70	$1,297.67