Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.72 / $616.95 / $684.21	Professional		$588.72	$616.95	$684.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $550.23 / $640.83 / $775.40	Professional		$550.23	$640.83	$775.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.33 / $2,586.33 / $2,586.33	Facility		$2,586.33	$2,586.33	$2,586.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $636.12 / $1,288.42	Professional		$476.93	$636.12	$1,288.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.86 / $669.33 / $1,118.45	Professional		$518.86	$669.33	$1,118.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.05 / $606.49 / $1,091.22	Professional		$462.05	$606.49	$1,091.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.64 / $467.64 / $729.72	Professional		$467.64	$467.64	$729.72