Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,819.70	Professional		$776.25	$912.01	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,230.27	Professional		$870.96	$977.24	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $8,317.64	Facility		$645.65	$1,348.96	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,995.26	Professional		$794.33	$1,096.48	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,819.70	Professional		$870.96	$954.99	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $3,548.13	Facility		$831.76	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,819.70	Professional		$691.83	$977.24	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,318.26	Professional		$794.33	$1,023.29	$1,318.26