Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $1,412.54	Professional		$489.78	$549.54	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $741.31	Professional		$537.03	$588.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $1,479.11	Facility		$446.68	$457.09	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,380.38	Professional		$512.86	$741.31	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $1,096.48	Professional		$524.81	$575.44	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $3,548.13	Facility		$501.19	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,174.90	Professional		$467.74	$741.31	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $794.33	Professional		$549.54	$616.60	$794.33