Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.68 / $840.88 / $924.71	Professional		$735.68	$840.88	$924.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $901.04 / $1,029.89	Professional		$885.00	$901.04	$1,029.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $3,314.62	Facility		$627.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,114.83 / $1,904.75	Professional		$766.45	$1,114.83	$1,904.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.05 / $1,139.13 / $1,487.25	Professional		$883.05	$1,139.13	$1,487.25
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $933.19 / $1,773.29	Professional		$639.79	$933.19	$1,773.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.33 / $1,015.51 / $1,247.07	Professional		$779.33	$1,015.51	$1,247.07