Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,071.52	Professional		$436.52	$724.44	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $812.83	Professional		$645.65	$724.44	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $588.84 / $1,148.15	Facility		$275.42	$588.84	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,584.89	Professional		$467.74	$588.84	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,348.96	Professional		$891.25	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $891.25	Facility		$380.19	$426.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $812.83	Professional		$380.19	$407.38	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $1,348.96	Professional		$346.74	$446.68	$1,348.96