Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $870.96 / $1,412.54	Professional		$346.74	$870.96	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $436.52	Professional		$323.59	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $724.44 / $1,659.59	Professional		$331.13	$724.44	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Professional		$794.33	$1,047.13	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $1,659.59	Professional		$316.23	$794.33	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,445.44	Professional		$794.33	$1,047.13	$1,445.44