Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.45 / $894.93 / $973.10	Professional		$775.45	$894.93	$973.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $890.77 / $944.37 / $1,038.81	Professional		$890.77	$944.37	$1,038.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.31 / $1,167.29 / $1,996.41	Professional		$795.31	$1,167.29	$1,996.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.69 / $1,192.24 / $1,555.68	Professional		$923.69	$1,192.24	$1,555.68
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 $676.28 / $957.54 / $1,669.62	Professional		$676.28	$957.54	$1,669.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $806.80 / $1,062.84 / $1,305.33	Professional		$806.80	$1,062.84	$1,305.33