Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $848.86 / $927.21	Professional		$738.46	$848.86	$927.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $898.46 / $898.46 / $1,200.00	Professional		$898.46	$898.46	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $6,262.53	Facility		$715.00	$728.96	$6,262.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.69 / $1,033.44 / $1,887.97	Professional		$734.69	$1,033.44	$1,887.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.54 / $1,129.70 / $1,472.91	Professional		$874.54	$1,129.70	$1,472.91
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 $638.14 / $890.20 / $1,719.58	Professional		$638.14	$890.20	$1,719.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $747.09 / $1,007.10 / $1,236.57	Professional		$747.09	$1,007.10	$1,236.57