Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $469.02 / $1,182.73	Professional		$296.26	$469.02	$1,182.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $348.16 / $449.83	Professional		$348.16	$348.16	$449.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $538.12 / $1,130.68	Professional		$335.12	$538.12	$1,130.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.02 / $750.81 / $1,002.82	Professional		$582.02	$750.81	$1,002.82
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $733.00 / $1,628.00	Facility		$520.00	$733.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.11 / $573.28 / $1,077.31	Professional		$379.11	$573.28	$1,077.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.32 / $669.32 / $825.87	Professional		$441.32	$669.32	$825.87