Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $920.43 / $1,383.45	Professional		$809.36	$920.43	$1,383.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,291.22 / $1,291.22 / $1,440.04	Professional		$1,291.22	$1,291.22	$1,440.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $396.70	Facility		$396.70	$396.70	$396.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $337.20 / $396.70	Professional		$337.20	$337.20	$396.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,579.45 / $1,862.03 / $2,476.50	Professional		$1,579.45	$1,862.03	$2,476.50
United Facility/Professional Professional Modifier Low / Median / High Price $711.02 / $970.72 / $1,463.16	Professional		$711.02	$970.72	$1,463.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,270.04 / $1,522.01	Professional		$1,143.60	$1,270.04	$1,522.01