Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,380.38	Professional		$776.25	$1,096.48	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,000.00	Professional		$724.44	$933.25	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,023.29	Facility		$489.78	$512.86	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,698.24	Professional		$676.08	$870.96	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,348.96	Professional		$794.33	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,548.82	Professional		$602.56	$794.33	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,288.25	Professional		$616.60	$891.25	$1,288.25