Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,621.81	Professional		$691.83	$831.76	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,230.27	Professional		$758.58	$831.76	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,318.26	Facility		$707.95	$812.83	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,621.81	Professional		$645.65	$891.25	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,202.26	Professional		$645.65	$851.14	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $6,165.95	Facility		$1,548.82	$2,238.72	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,548.82	Professional		$630.96	$870.96	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,096.48	Professional		$616.60	$954.99	$1,096.48