Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $426.58 / $1,096.48	Professional		$64.57	$426.58	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $109.65	Professional		$64.57	$70.79	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $741.31	Facility		$489.78	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $380.19 / $1,023.29	Professional		$66.07	$380.19	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $1,071.52	Professional		$407.38	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $239.88 / $1,071.52	Professional		$60.26	$239.88	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $851.14 / $1,096.48	Professional		$81.28	$851.14	$1,096.48