Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.42 / $867.26 / $1,149.89	Professional		$707.42	$867.26	$1,149.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $742.59 / $848.93 / $1,315.84	Professional		$742.59	$848.93	$1,315.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $693.21 / $1,164.58	Facility		$525.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $920.39 / $1,708.47	Professional		$625.80	$920.39	$1,708.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.10 / $925.42 / $1,327.96	Professional		$715.10	$925.42	$1,327.96
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.02 / $875.91 / $1,542.01	Professional		$637.02	$875.91	$1,542.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $620.21 / $904.96 / $1,117.51	Professional		$620.21	$904.96	$1,117.51