Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,905.46	Professional		$630.96	$741.31	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,047.13	Professional		$562.34	$831.76	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,584.89	Professional		$616.60	$870.96	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,258.93	Professional		$691.83	$758.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $2,884.03	Facility		$660.69	$851.14	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,445.44	Professional		$575.44	$812.83	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,047.13	Professional		$691.83	$812.83	$1,047.13