Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.13 / $718.93 / $1,358.49	Professional		$486.13	$718.93	$1,358.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $644.85 / $667.45 / $700.82	Professional		$644.85	$667.45	$700.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $158.93 / $335.55	Facility		$135.09	$158.93	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.21 / $623.74 / $1,064.21	Professional		$484.21	$623.74	$1,064.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $705.24 / $919.88	Professional		$586.75	$705.24	$919.88
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $568.15 / $1,112.40	Professional		$435.31	$568.15	$1,112.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $471.50 / $625.84 / $705.24	Professional		$471.50	$625.84	$705.24