Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $425.39 / $1,033.79	Professional		$286.43	$425.39	$1,033.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.66 / $309.64 / $353.94	Professional		$267.66	$309.64	$353.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.29 / $465.10 / $870.81	Professional		$288.29	$465.10	$870.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.24 / $500.83 / $868.11	Professional		$388.24	$500.83	$868.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.31 / $441.96 / $822.68	Professional		$309.31	$441.96	$822.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $446.48 / $552.59	Professional		$314.95	$446.48	$552.59