Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $2,454.71	Professional		$741.31	$891.25	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,023.29	Professional		$758.58	$831.76	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,238.72	Professional		$758.58	$1,023.29	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,348.96	Professional		$741.31	$851.14	$1,348.96
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 $660.69 / $933.25 / $1,584.89	Professional		$660.69	$933.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,122.02	Professional		$616.60	$954.99	$1,122.02