Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $870.35 / $1,139.03	Professional		$375.80	$870.35	$1,139.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $368.06 / $433.98	Professional		$358.66	$368.06	$433.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $756.29 / $1,646.11	Professional		$332.75	$756.29	$1,646.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.28 / $1,068.59 / $1,920.31	Professional		$621.28	$1,068.59	$1,920.31
United Facility/Professional Professional Modifier Low / Median / High Price $818.37 / $1,069.08 / $1,778.00	Professional		$818.37	$1,069.08	$1,778.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.08 / $794.08 / $1,169.52	Professional		$794.08	$794.08	$1,169.52