Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,258.93	Professional		$630.96	$933.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $851.14	Professional		$724.44	$724.44	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,187.76	Professional		$1,348.96	$1,621.81	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $416.87 / $891.25	Facility		$57.54	$416.87	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,288.25	Professional		$549.54	$912.01	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25