Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.27 / $709.51 / $1,081.76	Professional		$552.27	$709.51	$1,081.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $946.54 / $946.54 / $1,055.59	Professional		$946.54	$946.54	$1,055.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $601.70 / $707.88	Professional		$601.70	$601.70	$707.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.96 / $1,365.14 / $1,815.64	Professional		$1,157.96	$1,365.14	$1,815.64
United Facility/Professional Professional Modifier Low / Median / High Price $476.18 / $711.56 / $1,072.53	Professional		$476.18	$711.56	$1,072.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $838.37 / $936.61 / $1,173.43	Professional		$838.37	$936.61	$1,173.43