Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.10 / $618.22 / $1,008.02	Professional		$504.10	$618.22	$1,008.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $676.00 / $861.85	Professional		$676.00	$676.00	$861.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.54 / $1,260.77 / $1,815.51	Professional		$882.54	$1,260.77	$1,815.51
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $545.71 / $628.98 / $997.39	Professional		$545.71	$628.98	$997.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.90 / $661.90 / $882.54	Professional		$661.90	$661.90	$882.54