Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,041.74	Professional		$724.44	$912.01	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,047.13	Professional		$776.25	$870.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,290.87	Professional		$724.44	$1,047.13	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,380.38	Professional		$758.58	$870.96	$1,380.38
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 / $1,621.81	Professional		$660.69	$933.25	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,148.15	Professional		$676.08	$977.24	$1,148.15