Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,445.44	Professional		$691.83	$812.83	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,230.27	Professional		$707.95	$794.33	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $3,890.45	Facility		$812.83	$2,754.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,445.44	Professional		$575.44	$851.14	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,174.90	Professional		$616.60	$812.83	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,630.78	Facility		$1,230.27	$1,862.09	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,445.44	Professional		$602.56	$851.14	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,047.13	Professional		$588.84	$912.01	$1,047.13