Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,621.81	Professional		$758.58	$933.25	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,318.26	Professional		$831.76	$933.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,445.44	Facility		$575.44	$602.56	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,659.59	Professional		$691.83	$977.24	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,288.25	Professional		$707.95	$933.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,096.48	Facility		$302.00	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,659.59	Professional		$676.08	$933.25	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,202.26	Professional		$676.08	$1,047.13	$1,202.26