Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $828.41 / $1,092.20	Professional		$483.26	$828.41	$1,092.20
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 $1,960.00 / $1,960.00 / $1,960.00	Facility		$1,960.00	$1,960.00	$1,960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $121.19	Professional		$93.11	$93.11	$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 / $88.44 / $563.25	Professional		$74.86	$88.44	$563.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $914.29 / $914.29 / $1,500.59	Professional		$914.29	$914.29	$1,500.59