Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,412.54	Professional		$478.63	$616.60	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $707.95	Professional		$501.19	$575.44	$707.95
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 $524.81 / $707.95 / $1,548.82	Professional		$524.81	$707.95	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $933.25	Professional		$512.86	$588.84	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,071.52	Professional		$457.09	$630.96	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $776.25	Professional		$426.58	$660.69	$776.25