Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,819.70	Professional		$549.54	$660.69	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $758.58	Professional		$562.34	$630.96	$758.58
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 $562.34 / $758.58 / $1,659.59	Professional		$562.34	$758.58	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,000.00	Professional		$562.34	$645.65	$1,000.00
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 $489.78 / $676.08 / $1,174.90	Professional		$489.78	$676.08	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $851.14	Professional		$457.09	$724.44	$851.14