Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.63 / $502.14 / $3,050.50	Professional		$495.63	$502.14	$3,050.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $632.63 / $653.26 / $743.18	Professional		$632.63	$653.26	$743.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,346.87 / $2,346.87 / $2,346.87	Facility		$2,346.87	$2,346.87	$2,346.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.21 / $768.79 / $1,520.73	Professional		$532.21	$768.79	$1,520.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.05 / $814.04 / $1,315.85	Professional		$612.05	$814.04	$1,315.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,882.00 / $2,882.00 / $2,882.00	Facility		$2,882.00	$2,882.00	$2,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.31 / $699.33 / $1,178.49	Professional		$494.31	$699.33	$1,178.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $542.11 / $703.87 / $868.44	Professional		$542.11	$703.87	$868.44