Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,995.26	Professional		$588.84	$707.95	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $831.76	Professional		$616.60	$691.83	$831.76
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 $616.60 / $831.76 / $1,819.70	Professional		$616.60	$831.76	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,096.48	Professional		$602.56	$691.83	$1,096.48
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 $537.03 / $776.25 / $1,288.25	Professional		$537.03	$776.25	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $912.01	Professional		$501.19	$776.25	$912.01