Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.15 / $858.36 / $1,005.44	Professional		$549.15	$858.36	$1,005.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,055.68 / $3,055.68 / $3,055.68	Professional		$3,055.68	$3,055.68	$3,055.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.06 / $1,045.06 / $1,045.06	Facility		$1,045.06	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.36 / $1,462.36 / $1,462.36	Professional		$1,462.36	$1,462.36	$1,462.36
United Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $82.06 / $210.43	Professional		$61.46	$82.06	$210.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $199.28 / $560.10	Professional		$199.28	$199.28	$560.10