Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.14 / $1,097.67 / $1,569.83	Professional		$888.14	$1,097.67	$1,569.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $988.55 / $1,011.62 / $1,408.79	Professional		$988.55	$1,011.62	$1,408.79
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 $824.77 / $1,152.70 / $2,135.75	Professional		$824.77	$1,152.70	$2,135.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.08 / $1,166.91 / $1,623.52	Professional		$946.08	$1,166.91	$1,623.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,347.00 / $3,219.00	Facility		$1,028.00	$1,347.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.08 / $1,045.94 / $1,851.68	Professional		$773.08	$1,045.94	$1,851.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.97 / $1,166.91 / $1,422.86	Professional		$773.97	$1,166.91	$1,422.86