Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.24 / $887.04 / $1,178.80	Professional		$675.24	$887.04	$1,178.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,195.90 / $1,439.76 / $1,439.76	Professional		$1,195.90	$1,439.76	$1,439.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.84 / $840.84 / $989.22	Professional		$840.84	$840.84	$989.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,425.64 / $1,765.53 / $2,235.35	Professional		$1,425.64	$1,765.53	$2,235.35
United Facility/Professional Professional Modifier Low / Median / High Price $697.24 / $957.63 / $1,571.78	Professional		$697.24	$957.63	$1,571.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.60 / $1,023.60 / $1,325.15	Professional		$1,023.60	$1,023.60	$1,325.15