Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,096.48	Professional		$489.78	$691.83	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $489.78 / $549.54	Professional		$446.68	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $1,202.26	Facility		$426.58	$446.68	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,174.90	Professional		$426.58	$602.56	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,096.48	Professional		$645.65	$741.31	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,023.29	Professional		$371.54	$549.54	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,071.52	Professional		$380.19	$707.95	$1,071.52