Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $828.41 / $1,091.09	Professional		$483.26	$828.41	$1,091.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,299.59 / $1,299.59 / $1,299.59	Professional		$1,299.59	$1,299.59	$1,299.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $1,960.00	Facility		$99.82	$99.82	$1,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $121.19	Professional		$84.85	$84.85	$121.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,530.00	Professional		$1,530.00	$1,530.00	$1,530.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $89.84 / $563.79	Professional		$74.86	$89.84	$563.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.29 / $914.29 / $1,500.59	Professional		$914.29	$914.29	$1,500.59