Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,047.13	Professional		$457.09	$549.54	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $812.83	Professional		$467.74	$524.81	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $3,890.45	Facility		$575.44	$3,090.30	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $977.24	Professional		$426.58	$588.84	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $758.58	Professional		$398.11	$512.86	$758.58
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 $407.38 / $575.44 / $1,000.00	Professional		$407.38	$575.44	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $660.69	Professional		$407.38	$575.44	$660.69