Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,398.83	Professional		$758.58	$933.25	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,230.27	Professional		$912.01	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $1,479.11	Facility		$630.96	$645.65	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,041.74	Professional		$812.83	$1,122.02	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,621.81	Professional		$891.25	$977.24	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $851.14 / $2,884.03	Facility		$776.25	$851.14	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,862.09	Professional		$707.95	$1,023.29	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,348.96	Professional		$812.83	$1,047.13	$1,348.96