Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.77 / $998.07 / $1,086.49	Professional		$868.77	$998.07	$1,086.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $989.33 / $1,055.46 / $1,182.11	Professional		$989.33	$1,055.46	$1,182.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $4,458.55	Facility		$627.00	$641.21	$4,458.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.56 / $1,293.64 / $2,222.76	Professional		$886.56	$1,293.64	$2,222.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.76 / $1,326.02 / $1,727.60	Professional		$1,025.76	$1,326.02	$1,727.60
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 $765.85 / $1,108.11 / $1,864.74	Professional		$765.85	$1,108.11	$1,864.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.99 / $1,182.10 / $1,451.64	Professional		$900.99	$1,182.10	$1,451.64