Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,122.02	Professional		$354.81	$457.09	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $478.63	Professional		$338.84	$371.54	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,122.02	Professional		$354.81	$524.81	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $870.96	Professional		$398.11	$537.03	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $812.83	Professional		$331.13	$478.63	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $676.08	Professional		$338.84	$602.56	$676.08