Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,096.48	Professional		$489.78	$794.33	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,288.25	Facility		$575.44	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,949.84	Professional		$602.56	$954.99	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,148.15	Professional		$630.96	$812.83	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,096.48	Facility		$302.00	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,621.81	Professional		$602.56	$1,000.00	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19