Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $841.31 / $894.67	Professional		$679.20	$841.31	$894.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $749.99 / $833.32 / $1,058.32	Professional		$749.99	$833.32	$1,058.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $3,314.62	Facility		$715.00	$728.96	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.67 / $1,064.40 / $1,954.39	Professional		$758.67	$1,064.40	$1,954.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.09 / $1,128.86 / $1,492.19	Professional		$875.09	$1,128.86	$1,492.19
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 $646.35 / $948.07 / $1,722.77	Professional		$646.35	$948.07	$1,722.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.14 / $1,006.35 / $1,236.03	Professional		$741.14	$1,006.35	$1,236.03