Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,548.82	Professional		$467.74	$602.56	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $724.44	Professional		$537.03	$602.56	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,412.54	Professional		$512.86	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $977.24	Professional		$512.86	$588.84	$977.24
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 $467.74 / $676.08 / $1,071.52	Professional		$467.74	$676.08	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $776.25	Professional		$524.81	$660.69	$776.25