Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.71 / $839.54 / $2,203.14	Professional		$644.71	$839.54	$2,203.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $689.74 / $689.74 / $834.59	Professional		$689.74	$689.74	$834.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,173.57 / $3,173.57 / $3,173.57	Facility		$3,173.57	$3,173.57	$3,173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.28 / $764.24 / $1,714.13	Professional		$597.28	$764.24	$1,714.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.07 / $895.35 / $1,482.36	Professional		$694.07	$895.35	$1,482.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.62 / $699.15 / $1,255.51	Professional		$471.62	$699.15	$1,255.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $517.00 / $973.83	Professional		$517.00	$517.00	$973.83