Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,819.70	Professional		$537.03	$630.96	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $870.96	Professional		$549.54	$676.08	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Facility		$512.86	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,412.54	Professional		$575.44	$794.33	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,202.26	Professional		$616.60	$691.83	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $1,621.81	Facility		$478.63	$588.84	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,288.25	Professional		$512.86	$741.31	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $954.99	Professional		$616.60	$741.31	$954.99