Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.08 / $929.49 / $1,014.88	Professional		$810.08	$929.49	$1,014.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $887.68 / $887.68 / $1,090.00	Professional		$887.68	$887.68	$1,090.00
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 $835.25 / $1,196.39 / $2,070.59	Professional		$835.25	$1,196.39	$2,070.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $1,236.22 / $1,612.06	Professional		$957.16	$1,236.22	$1,612.06
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 $681.02 / $955.74 / $1,880.73	Professional		$681.02	$955.74	$1,880.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $820.89 / $1,102.06 / $1,353.25	Professional		$820.89	$1,102.06	$1,353.25