Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,778.28	Professional		$575.44	$794.33	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $851.14	Professional		$645.65	$707.95	$851.14
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 / $851.14 / $1,659.59	Professional		$575.44	$851.14	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,230.27	Professional		$660.69	$758.58	$1,230.27
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 $524.81 / $741.31 / $1,288.25	Professional		$524.81	$741.31	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,023.29	Professional		$501.19	$831.76	$1,023.29