Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,698.24	Professional		$537.03	$660.69	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $912.01	Professional		$645.65	$724.44	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $1,479.11	Facility		$645.65	$1,348.96	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,479.11	Professional		$575.44	$812.83	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,318.26	Professional		$630.96	$707.95	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $2,238.72	Facility		$588.84	$645.65	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,318.26	Professional		$501.19	$724.44	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $977.24	Professional		$575.44	$758.58	$977.24