Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,071.52	Professional		$741.31	$954.99	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,584.89	Facility		$489.78	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,778.28	Professional		$691.83	$891.25	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,412.54	Professional		$831.76	$954.99	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,584.89	Professional		$602.56	$812.83	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,348.96	Professional		$630.96	$912.01	$1,348.96