Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.46 / $491.05 / $927.76	Professional		$460.46	$491.05	$927.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.97 / $502.54 / $573.76	Professional		$501.97	$502.54	$573.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.96 / $614.40 / $1,415.19	Professional		$438.96	$614.40	$1,415.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $623.50 / $995.46	Professional		$468.80	$623.50	$995.46
United Facility/Professional Facility Modifier Low / Median / High Price $6,897.94 / $6,897.94 / $6,897.94	Facility		$6,897.94	$6,897.94	$6,897.94
United Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $550.89 / $1,075.85	Professional		$400.38	$550.89	$1,075.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.45 / $539.12 / $670.01	Professional		$365.45	$539.12	$670.01