Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,862.09	Professional		$602.56	$724.44	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,071.52	Professional		$776.25	$870.96	$1,071.52
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 $630.96 / $870.96 / $1,621.81	Professional		$630.96	$870.96	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,288.25	Professional		$707.95	$794.33	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $2,884.03	Facility		$691.83	$851.14	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,445.44	Professional		$562.34	$812.83	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,096.48	Professional		$630.96	$851.14	$1,096.48