Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $1,170.64 / $1,255.60	Professional		$745.62	$1,170.64	$1,255.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $928.98 / $961.16 / $1,044.15	Professional		$928.98	$961.16	$1,044.15
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 $739.67 / $965.28 / $1,716.35	Professional		$739.67	$965.28	$1,716.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.55 / $1,129.93 / $1,473.83	Professional		$982.55	$1,129.93	$1,473.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $7,542.00	Facility		$1,386.00	$1,386.00	$7,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.54 / $839.39 / $1,680.08	Professional		$639.54	$839.39	$1,680.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $665.07 / $1,029.44 / $1,129.93	Professional		$665.07	$1,029.44	$1,129.93