Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.58 / $861.39 / $965.32	Professional		$761.58	$861.39	$965.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $981.43 / $1,079.57	Professional		$970.00	$981.43	$1,079.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.01 / $1,117.36 / $1,971.96	Professional		$778.01	$1,117.36	$1,971.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.41 / $1,177.56 / $1,536.69	Professional		$912.41	$1,177.56	$1,536.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.58 / $940.07 / $1,749.20	Professional		$664.58	$940.07	$1,749.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $1,049.77 / $1,289.16	Professional		$777.42	$1,049.77	$1,289.16