Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,348.96	Professional		$588.84	$724.44	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,096.48	Professional		$630.96	$707.95	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,584.89 / $1,819.70	Facility		$524.81	$1,584.89	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,445.44	Professional		$562.34	$741.31	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,023.29	Professional		$562.34	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,235.94	Facility		$1,023.29	$1,445.44	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,288.25	Professional		$537.03	$741.31	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $954.99	Professional		$489.78	$831.76	$954.99