Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,047.13	Professional		$446.68	$645.65	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $501.19	Professional		$407.38	$446.68	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $1,023.29	Facility		$426.58	$446.68	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,071.52	Professional		$389.05	$549.54	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,047.13	Professional		$575.44	$707.95	$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 $363.08 / $512.86 / $933.25	Professional		$363.08	$512.86	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $870.96	Professional		$407.38	$645.65	$870.96