Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,584.89	Professional		$537.03	$691.83	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $776.25	Professional		$588.84	$645.65	$776.25
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 $562.34 / $776.25 / $1,737.80	Professional		$562.34	$776.25	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,023.29	Professional		$575.44	$660.69	$1,023.29
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 $501.19 / $691.83 / $1,202.26	Professional		$501.19	$691.83	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $870.96	Professional		$524.81	$741.31	$870.96