Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,238.72	Professional		$741.31	$891.25	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,230.27	Professional		$660.69	$977.24	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Facility		$512.86	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,995.26	Professional		$794.33	$1,071.52	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,584.89	Professional		$891.25	$1,000.00	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $2,238.72	Facility		$588.84	$812.83	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,737.80	Professional		$691.83	$954.99	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,380.38	Professional		$776.25	$1,071.52	$1,380.38