Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $694.57 / $3,262.95	Professional		$579.16	$694.57	$3,262.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $551.19 / $575.83 / $663.19	Professional		$551.19	$575.83	$663.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.59 / $949.93 / $1,953.96	Professional		$617.59	$949.93	$1,953.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.49 / $1,055.33 / $1,741.74	Professional		$793.49	$1,055.33	$1,741.74
United Facility/Professional Professional Modifier Low / Median / High Price $621.00 / $909.01 / $1,536.39	Professional		$621.00	$909.01	$1,536.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.61 / $912.51 / $1,122.99	Professional		$458.61	$912.51	$1,122.99