Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.08 / $946.73 / $1,248.91	Professional		$713.08	$946.73	$1,248.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $935.90 / $1,272.82	Professional		$760.00	$935.90	$1,272.82
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 $731.02 / $1,012.85 / $1,892.84	Professional		$731.02	$1,012.85	$1,892.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.93 / $1,034.54 / $1,439.36	Professional		$840.93	$1,034.54	$1,439.36
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 $691.11 / $941.03 / $1,715.37	Professional		$691.11	$941.03	$1,715.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $675.54 / $1,034.54 / $1,261.40	Professional		$675.54	$1,034.54	$1,261.40