Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.62 / $996.41 / $1,086.24	Professional		$866.62	$996.41	$1,086.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $971.76 / $1,290.00	Professional		$971.76	$971.76	$1,290.00
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 $860.31 / $1,252.81 / $2,204.55	Professional		$860.31	$1,252.81	$2,204.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.34 / $1,316.65 / $1,713.41	Professional		$1,017.34	$1,316.65	$1,713.41
United Facility/Professional Facility Modifier Low / Median / High Price $918.79 / $1,985.00 / $4,028.00	Facility		$918.79	$1,985.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.15 / $1,030.44 / $1,992.33	Professional		$711.15	$1,030.44	$1,992.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $872.89 / $1,173.76 / $1,441.14	Professional		$872.89	$1,173.76	$1,441.14