Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.77 / $843.02 / $874.75	Professional		$716.77	$843.02	$874.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $942.05 / $942.05 / $1,052.13	Professional		$942.05	$942.05	$1,052.13
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 $774.00 / $1,102.51 / $1,853.98	Professional		$774.00	$1,102.51	$1,853.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.31 / $1,134.60 / $1,479.26	Professional		$878.31	$1,134.60	$1,479.26
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 $642.04 / $928.94 / $1,713.30	Professional		$642.04	$928.94	$1,713.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.78 / $1,011.47 / $1,241.97	Professional		$788.78	$1,011.47	$1,241.97