Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,862.09	Professional		$602.56	$707.95	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $977.24	Professional		$707.95	$776.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $724.44	Facility		$707.95	$707.95	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,584.89	Professional		$645.65	$870.96	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,258.93	Professional		$691.83	$776.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $660.69 / $2,238.72	Facility		$588.84	$660.69	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,412.54	Professional		$562.34	$776.25	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,071.52	Professional		$660.69	$831.76	$1,071.52