Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.73 / $1,097.29 / $1,491.07	Professional		$802.73	$1,097.29	$1,491.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $976.32 / $985.26 / $1,430.00	Professional		$976.32	$985.26	$1,430.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,004.58 / $1,625.67	Professional		$758.58	$1,004.58	$1,625.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.26 / $1,081.30 / $1,455.80	Professional		$940.26	$1,081.30	$1,455.80
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 $706.82 / $872.72 / $1,850.06	Professional		$706.82	$872.72	$1,850.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $731.77 / $988.45 / $1,081.30	Professional		$731.77	$988.45	$1,081.30