Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.66 / $1,125.86 / $1,208.68	Professional		$698.66	$1,125.86	$1,208.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $926.89 / $1,005.46	Professional		$775.00	$926.89	$1,005.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,575.38	Facility		$485.00	$513.90	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $892.30 / $1,650.71	Professional		$697.78	$892.30	$1,650.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.83 / $1,078.67 / $1,415.75	Professional		$943.83	$1,078.67	$1,415.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.41 / $816.46 / $1,607.47	Professional		$605.41	$816.46	$1,607.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $635.24 / $988.78 / $1,085.40	Professional		$635.24	$988.78	$1,085.40