Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.41 / $923.62 / $4,368.10	Professional		$823.41	$923.62	$4,368.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $932.15 / $1,065.45	Professional		$880.00	$932.15	$1,065.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.03 / $1,111.65 / $2,175.39	Professional		$772.03	$1,111.65	$2,175.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $862.55 / $1,121.33 / $1,935.91	Professional		$862.55	$1,121.33	$1,935.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.26 / $991.21 / $1,657.24	Professional		$673.26	$991.21	$1,657.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $991.93 / $1,225.65	Professional		$736.90	$991.93	$1,225.65