Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.60 / $1,150.19 / $1,513.61	Professional		$927.60	$1,150.19	$1,513.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $746.85 / $1,139.81 / $1,550.14	Professional		$746.85	$1,139.81	$1,550.14
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 $852.25 / $1,209.95 / $2,272.98	Professional		$852.25	$1,209.95	$2,272.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.66 / $1,267.60 / $1,744.86	Professional		$988.66	$1,267.60	$1,744.86
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.98 / $1,119.96 / $1,956.99	Professional		$807.98	$1,119.96	$1,956.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $807.33 / $1,214.79 / $1,482.99	Professional		$807.33	$1,214.79	$1,482.99