Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $930.24 / $1,263.24	Professional		$766.75	$930.24	$1,263.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $867.36 / $892.34 / $1,383.13	Professional		$867.36	$892.34	$1,383.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $3,018.07 / $3,914.00	Facility		$719.00	$3,018.07	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.85 / $1,022.12 / $1,833.42	Professional		$710.85	$1,022.12	$1,833.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.21 / $1,019.04 / $1,547.99	Professional		$805.21	$1,019.04	$1,547.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,773.00 / $3,590.00	Facility		$1,236.00	$1,773.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $953.88 / $1,555.46	Professional		$710.39	$953.88	$1,555.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.93 / $976.58 / $1,207.82	Professional		$677.93	$976.58	$1,207.82