Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.87 / $586.70 / $1,653.53	Professional		$336.87	$586.70	$1,653.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.32 / $382.60 / $428.51	Professional		$323.32	$382.60	$428.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $2,754.30	Facility		$445.00	$453.73	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $666.17 / $1,465.21	Professional		$367.18	$666.17	$1,465.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.29 / $834.78 / $1,131.90	Professional		$644.29	$834.78	$1,131.90
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.28 / $765.77 / $1,359.59	Professional		$525.28	$765.77	$1,359.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.12 / $744.19 / $920.42	Professional		$647.12	$744.19	$920.42