Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,548.82	Professional		$457.09	$562.34	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $630.96	Professional		$457.09	$512.86	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,380.38	Professional		$467.74	$645.65	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $831.76	Professional		$446.68	$512.86	$831.76
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 $426.58 / $602.56 / $1,000.00	Professional		$426.58	$602.56	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $676.08	Professional		$389.05	$575.44	$676.08