Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.21 / $706.61 / $1,272.10	Professional		$683.21	$706.61	$1,272.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $652.03 / $665.49 / $899.36	Professional		$652.03	$665.49	$899.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.55 / $791.01 / $1,457.91	Professional		$542.55	$791.01	$1,457.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $766.39 / $1,268.30	Professional		$594.10	$766.39	$1,268.30
United Facility/Professional Professional Modifier Low / Median / High Price $542.90 / $708.78 / $1,279.10	Professional		$542.90	$708.78	$1,279.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.76 / $498.76 / $832.88	Professional		$498.76	$498.76	$832.88