Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $813.72 / $1,024.01	Professional		$169.93	$813.72	$1,024.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $191.18 / $239.01	Professional		$184.86	$191.18	$239.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.49 / $622.49 / $622.49	Facility		$622.49	$622.49	$622.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $671.00 / $1,806.92	Professional		$171.87	$671.00	$1,806.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.09 / $986.76 / $1,773.37	Professional		$753.09	$986.76	$1,773.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.99 / $988.63 / $1,608.65	Professional		$683.99	$988.63	$1,608.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $866.05 / $1,067.35	Professional		$135.61	$866.05	$1,067.35