Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $933.25	Professional		$407.38	$645.65	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,202.26	Professional		$741.31	$831.76	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,513.56	Facility		$630.96	$891.25	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,548.82	Professional		$537.03	$776.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $758.58	Professional		$398.11	$524.81	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,786.30 / $9,772.37	Facility		$2,454.71	$4,786.30	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $1,445.44	Professional		$446.68	$812.83	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54