Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,398.83	Professional		$831.76	$1,023.29	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,288.25	Professional		$870.96	$954.99	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,398.83	Professional		$870.96	$1,230.27	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,659.59	Professional		$870.96	$1,000.00	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,862.09	Professional		$758.58	$1,122.02	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,318.26	Professional		$831.76	$1,096.48	$1,318.26