Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,949.84	Professional		$645.65	$776.25	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,071.52	Professional		$489.78	$851.14	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $4,466.84	Facility		$446.68	$457.09	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,698.24	Professional		$616.60	$912.01	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,348.96	Professional		$758.58	$831.76	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $3,548.13	Facility		$724.44	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,548.82	Professional		$549.54	$831.76	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,148.15	Professional		$645.65	$891.25	$1,148.15