Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $1,318.26	Professional		$251.19	$562.34	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $331.13	Professional		$234.42	$263.03	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,071.52	Professional		$251.19	$501.19	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$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 $229.09 / $489.78 / $1,000.00	Professional		$229.09	$489.78	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $851.14	Professional		$501.19	$707.95	$851.14