Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $454.67 / $1,324.26	Professional		$311.98	$454.67	$1,324.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.19 / $362.62 / $417.59	Professional		$287.19	$362.62	$417.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $525.82 / $1,079.08	Professional		$331.90	$525.82	$1,079.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.68 / $626.30 / $1,109.79	Professional		$412.68	$626.30	$1,109.79
United Facility/Professional Facility Modifier Low / Median / High Price $5,724.10 / $5,724.10 / $5,724.10	Facility		$5,724.10	$5,724.10	$5,724.10
United Facility/Professional Professional Modifier Low / Median / High Price $402.78 / $548.16 / $1,124.39	Professional		$402.78	$548.16	$1,124.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.64 / $558.34 / $688.35	Professional		$395.64	$558.34	$688.35