Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.96 / $1,019.04 / $1,081.84	Professional		$720.96	$1,019.04	$1,081.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $906.04 / $908.69 / $1,009.09	Professional		$906.04	$908.69	$1,009.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $722.49 / $2,078.94	Facility		$682.00	$722.49	$2,078.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.22 / $922.09 / $1,506.65	Professional		$677.22	$922.09	$1,506.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.51 / $999.94 / $1,304.27	Professional		$869.51	$999.94	$1,304.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $804.87 / $1,584.65	Professional		$623.62	$804.87	$1,584.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $671.90 / $914.12 / $999.94	Professional		$671.90	$914.12	$999.94