Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.46 / $1,085.73 / $1,410.71	Professional		$878.46	$1,085.73	$1,410.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $1,089.17 / $1,470.38	Professional		$785.00	$1,089.17	$1,470.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.25 / $1,130.45 / $2,111.23	Professional		$810.25	$1,130.45	$2,111.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $939.50 / $1,155.69 / $1,608.14	Professional		$939.50	$1,155.69	$1,608.14
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 $793.28 / $1,074.90 / $1,956.60	Professional		$793.28	$1,074.90	$1,956.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $748.50 / $1,155.69 / $1,409.25	Professional		$748.50	$1,155.69	$1,409.25