Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.71 / $931.28 / $1,672.86	Professional		$758.71	$931.28	$1,672.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,239.50 / $1,239.50 / $1,239.59	Professional		$1,239.50	$1,239.50	$1,239.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Facility		$504.00	$504.00	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $428.40 / $504.00	Professional		$428.40	$428.40	$504.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.05 / $2,033.29 / $2,574.36	Professional		$1,742.05	$2,033.29	$2,574.36
United Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,095.14 / $1,875.04	Professional		$897.00	$1,095.14	$1,875.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.20 / $1,221.20 / $1,526.09	Professional		$1,221.20	$1,221.20	$1,526.09