Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.00 / $742.81 / $1,574.07	Professional		$723.00	$742.81	$1,574.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.05 / $776.31 / $1,011.24	Professional		$766.05	$776.31	$1,011.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.03 / $2,659.03 / $2,659.03	Facility		$2,659.03	$2,659.03	$2,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.64 / $985.05 / $2,178.61	Professional		$708.64	$985.05	$2,178.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.61 / $961.07 / $1,538.78	Professional		$722.61	$961.07	$1,538.78
United Facility/Professional Professional Modifier Low / Median / High Price $620.46 / $914.95 / $1,749.20	Professional		$620.46	$914.95	$1,749.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $569.52 / $831.00 / $1,034.39	Professional		$569.52	$831.00	$1,034.39