Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $692.41 / $1,724.49	Professional		$578.48	$692.41	$1,724.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $736.30 / $736.30 / $846.74	Professional		$736.30	$736.30	$846.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $798.33 / $1,365.55	Professional		$615.04	$798.33	$1,365.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.14 / $1,013.25 / $1,804.85	Professional		$813.14	$1,013.25	$1,804.85
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $832.60 / $1,497.43	Professional		$628.70	$832.60	$1,497.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $641.91 / $715.06 / $938.03	Professional		$641.91	$715.06	$938.03