Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.66 / $1,101.44 / $1,257.29	Professional		$737.66	$1,101.44	$1,257.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $810.45 / $900.50 / $1,244.90	Professional		$810.45	$900.50	$1,244.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.39 / $1,166.90 / $2,462.17	Professional		$774.39	$1,166.90	$2,462.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.04 / $1,506.20 / $1,957.09	Professional		$1,154.04	$1,506.20	$1,957.09
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $1,055.73 / $2,130.19	Professional		$553.15	$1,055.73	$2,130.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $668.70 / $1,342.74 / $1,648.63	Professional		$668.70	$1,342.74	$1,648.63