Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.78 / $906.36 / $1,000.83	Professional		$796.78	$906.36	$1,000.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $962.84 / $1,022.08 / $1,124.29	Professional		$962.84	$1,022.08	$1,124.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $641.21 / $1,335.00	Facility		$641.21	$641.21	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.45 / $1,197.97 / $2,050.08	Professional		$829.45	$1,197.97	$2,050.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.01 / $1,225.59 / $1,598.34	Professional		$949.01	$1,225.59	$1,598.34
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 $697.79 / $956.08 / $1,717.06	Professional		$697.79	$956.08	$1,717.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $843.55 / $1,092.58 / $1,341.50	Professional		$843.55	$1,092.58	$1,341.50