Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.21 / $1,150.49 / $1,504.17	Professional		$944.21	$1,150.49	$1,504.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,172.38 / $1,606.16	Professional		$975.00	$1,172.38	$1,606.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.07 / $1,219.83 / $2,218.85	Professional		$870.07	$1,219.83	$2,218.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.72 / $1,219.82 / $1,691.90	Professional		$1,003.72	$1,219.82	$1,691.90
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.94 / $1,164.98 / $2,246.02	Professional		$837.94	$1,164.98	$2,246.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $814.90 / $1,216.06 / $1,505.58	Professional		$814.90	$1,216.06	$1,505.58