Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.34 / $959.85 / $2,482.80	Professional		$798.34	$959.85	$2,482.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $940.47 / $1,125.00	Professional		$940.47	$940.47	$1,125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $3,314.62	Facility		$507.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.19 / $1,183.41 / $2,101.34	Professional		$843.19	$1,183.41	$2,101.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.51 / $1,255.27 / $1,634.54	Professional		$970.51	$1,255.27	$1,634.54
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,010.06 / $1,765.13	Professional		$743.58	$1,010.06	$1,765.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $1,119.04 / $1,374.12	Professional		$904.00	$1,119.04	$1,374.12