Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.75 / $943.60 / $1,004.12	Professional		$833.75	$943.60	$1,004.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $973.56 / $986.80 / $1,105.22	Professional		$973.56	$986.80	$1,105.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $4,500.31	Facility		$507.00	$518.54	$4,500.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.90 / $1,213.74 / $2,158.58	Professional		$867.90	$1,213.74	$2,158.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.29 / $1,259.41 / $1,665.78	Professional		$976.29	$1,259.41	$1,665.78
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 $755.86 / $1,062.30 / $1,982.33	Professional		$755.86	$1,062.30	$1,982.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.99 / $1,122.73 / $1,378.97	Professional		$845.99	$1,122.73	$1,378.97