Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.49 / $1,012.80 / $1,350.40	Professional		$771.49	$1,012.80	$1,350.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,374.50 / $1,620.60 / $1,620.60	Professional		$1,374.50	$1,620.60	$1,620.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,459.20	Facility		$1,122.47	$1,122.47	$1,459.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $954.10 / $1,122.47	Professional		$341.57	$954.10	$1,122.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,681.17 / $2,028.89 / $2,568.79	Professional		$1,681.17	$2,028.89	$2,568.79
United Facility/Professional Professional Modifier Low / Median / High Price $742.05 / $1,078.46 / $1,718.25	Professional		$742.05	$1,078.46	$1,718.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.46 / $1,152.46 / $1,522.95	Professional		$1,152.46	$1,152.46	$1,522.95