Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,621.81	Professional		$575.44	$691.83	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $933.25	Professional		$676.08	$758.58	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,479.11	Professional		$562.34	$831.76	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,288.25	Professional		$741.31	$851.14	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $2,884.03	Facility		$645.65	$851.14	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,380.38	Professional		$489.78	$758.58	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,096.48	Professional		$562.34	$891.25	$1,096.48