Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $1,513.56	Professional		$436.52	$537.03	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $676.08	Professional		$446.68	$501.19	$676.08
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 $457.09 / $616.60 / $1,318.26	Professional		$457.09	$616.60	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $812.83	Professional		$436.52	$501.19	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $954.99	Professional		$407.38	$575.44	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $645.65	Professional		$380.19	$562.34	$645.65