Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,630.27	Professional		$851.14	$1,202.26	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,380.38	Professional		$676.08	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,570.40	Professional		$870.96	$1,288.25	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,995.26	Professional		$1,122.02	$1,318.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,041.74	Professional		$831.76	$1,174.90	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $1,778.28	Professional		$676.08	$1,445.44	$1,778.28