Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,621.81	Professional		$478.63	$630.96	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $741.31	Professional		$549.54	$616.60	$741.31
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 / $724.44 / $1,445.44	Professional		$512.86	$724.44	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $977.24	Professional		$524.81	$602.56	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,122.02	Professional		$457.09	$645.65	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $794.33	Professional		$524.81	$676.08	$794.33