Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.64 / $675.80 / $3,331.47	Professional		$644.64	$675.80	$3,331.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $699.85 / $701.48 / $801.79	Professional		$699.85	$701.48	$801.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.03 / $2,659.03 / $2,659.03	Facility		$2,659.03	$2,659.03	$2,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.26 / $859.45 / $1,977.65	Professional		$623.26	$859.45	$1,977.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.46 / $871.76 / $1,390.28	Professional		$655.46	$871.76	$1,390.28
United Facility/Professional Facility Modifier Low / Median / High Price $10,167.24 / $10,167.24 / $10,167.24	Facility		$10,167.24	$10,167.24	$10,167.24
United Facility/Professional Professional Modifier Low / Median / High Price $556.47 / $774.70 / $1,309.79	Professional		$556.47	$774.70	$1,309.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $502.96 / $753.78 / $936.63	Professional		$502.96	$753.78	$936.63