Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,862.09	Professional		$537.03	$660.69	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $741.31	Professional		$549.54	$616.60	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,621.81	Professional		$562.34	$758.58	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,122.02	Professional		$537.03	$616.60	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,174.90	Professional		$501.19	$707.95	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $812.83	Professional		$467.74	$691.83	$812.83