Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,737.80	Professional		$562.34	$758.58	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $831.76	Professional		$602.56	$691.83	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,659.59	Professional		$575.44	$831.76	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,174.90	Professional		$630.96	$724.44	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,288.25	Professional		$512.86	$741.31	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $954.99	Professional		$478.63	$794.33	$954.99