Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.31 / $837.86 / $914.19	Professional		$727.31	$837.86	$914.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $890.83 / $890.83 / $1,143.10	Professional		$890.83	$890.83	$1,143.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $9,053.32	Facility		$715.00	$728.96	$9,053.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.73 / $1,096.07 / $1,870.39	Professional		$769.73	$1,096.07	$1,870.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.68 / $1,119.38 / $1,459.66	Professional		$866.68	$1,119.38	$1,459.66
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 $639.44 / $915.90 / $1,562.38	Professional		$639.44	$915.90	$1,562.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.95 / $997.90 / $1,225.32	Professional		$783.95	$997.90	$1,225.32