Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.61 / $809.51 / $2,141.40	Professional		$723.61	$809.51	$2,141.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $618.62 / $660.77 / $835.00	Professional		$618.62	$660.77	$835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,123.36 / $2,123.36 / $2,123.36	Facility		$2,123.36	$2,123.36	$2,123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.54 / $749.48 / $1,664.34	Professional		$539.54	$749.48	$1,664.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.87 / $762.22 / $1,260.61	Professional		$590.87	$762.22	$1,260.61
United Facility/Professional Professional Modifier Low / Median / High Price $530.11 / $723.54 / $1,225.23	Professional		$530.11	$723.54	$1,225.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $496.00 / $828.38	Professional		$496.00	$496.00	$828.38