Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.34 / $612.11 / $2,811.21	Professional		$519.34	$612.11	$2,811.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $592.04 / $676.72	Professional		$555.00	$592.04	$676.72
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 $524.77 / $724.48 / $1,669.16	Professional		$524.77	$724.48	$1,669.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.94 / $734.08 / $1,174.05	Professional		$551.94	$734.08	$1,174.05
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 $461.04 / $631.42 / $1,070.82	Professional		$461.04	$631.42	$1,070.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.41 / $634.73 / $788.69	Professional		$424.41	$634.73	$788.69