Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,513.56	Professional		$467.74	$660.69	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $588.84	Professional		$436.52	$489.78	$588.84
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 $467.74 / $758.58 / $1,412.54	Professional		$467.74	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,122.02	Professional		$562.34	$758.58	$1,122.02
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 $446.68 / $676.08 / $1,122.02	Professional		$446.68	$676.08	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $977.24	Professional		$524.81	$851.14	$977.24