Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.47 / $993.48 / $4,607.75	Professional		$901.47	$993.48	$4,607.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $963.78 / $1,101.59	Professional		$900.00	$963.78	$1,101.59
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 $852.26 / $1,174.83 / $2,717.14	Professional		$852.26	$1,174.83	$2,717.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.53 / $1,196.36 / $1,915.12	Professional		$899.53	$1,196.36	$1,915.12
United Facility/Professional Professional Modifier Low / Median / High Price $752.50 / $1,043.88 / $1,888.07	Professional		$752.50	$1,043.88	$1,888.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $696.86 / $1,034.46 / $1,286.48	Professional		$696.86	$1,034.46	$1,286.48