Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,238.72	Professional		$645.65	$912.01	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $933.25	Professional		$691.83	$776.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $2,041.74	Professional		$676.08	$933.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,230.27	Professional		$676.08	$776.25	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,445.44	Professional		$616.60	$831.76	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,023.29	Professional		$575.44	$870.96	$1,023.29