Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,174.90	Professional		$724.44	$933.25	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,071.52	Professional		$691.83	$776.25	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $1,202.26	Facility		$602.56	$630.96	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,380.38	Professional		$588.84	$794.33	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,047.13	Professional		$630.96	$741.31	$1,047.13
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 $549.54 / $707.95 / $1,479.11	Professional		$549.54	$707.95	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,023.29	Professional		$588.84	$707.95	$1,023.29