Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,548.82	Professional		$489.78	$575.44	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,047.13	Professional		$562.34	$630.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,348.96	Facility		$870.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,230.27	Professional		$512.86	$707.95	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,023.29	Professional		$562.34	$616.60	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $2,238.72	Facility		$549.54	$645.65	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,174.90	Professional		$446.68	$645.65	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $851.14	Professional		$524.81	$676.08	$851.14