Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,548.82	Professional		$549.54	$630.96	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $891.25	Professional		$630.96	$691.83	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $4,168.69	Facility		$512.86	$512.86	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,479.11	Professional		$588.84	$794.33	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $691.83 / $1,096.48	Professional		$630.96	$691.83	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $602.56 / $1,621.81	Facility		$478.63	$602.56	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,288.25	Professional		$524.81	$724.44	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $954.99	Professional		$616.60	$758.58	$954.99