Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $1,071.52	Professional		$316.23	$398.11	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $457.09	Professional		$338.84	$380.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,000.00	Professional		$338.84	$457.09	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $602.56	Professional		$338.84	$389.05	$602.56
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 $288.40 / $416.87 / $707.95	Professional		$288.40	$416.87	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $512.86	Professional		$295.12	$436.52	$512.86