Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.62 / $417.47 / $1,897.43	Professional		$350.62	$417.47	$1,897.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $403.40 / $459.63	Professional		$325.00	$403.40	$459.63
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 $344.91 / $481.77 / $1,133.70	Professional		$344.91	$481.77	$1,133.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $485.43 / $796.67	Professional		$376.30	$485.43	$796.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $408.67 / $720.61	Professional		$306.50	$408.67	$720.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $432.75 / $537.19	Professional		$286.69	$432.75	$537.19