Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.45 / $915.00 / $4,220.60	Professional		$781.45	$915.00	$4,220.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $881.32 / $884.98 / $1,038.57	Professional		$881.32	$884.98	$1,038.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.41 / $1,081.19 / $2,495.00	Professional		$717.41	$1,081.19	$2,495.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.22 / $1,098.86 / $1,755.67	Professional		$826.22	$1,098.86	$1,755.67
United Facility/Professional Professional Modifier Low / Median / High Price $669.26 / $955.49 / $1,610.46	Professional		$669.26	$955.49	$1,610.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.33 / $950.15 / $1,181.21	Professional		$669.33	$950.15	$1,181.21