Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $827.28 / $1,373.76	Professional		$673.92	$827.28	$1,373.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,059.84 / $1,059.84 / $1,101.73	Professional		$1,059.84	$1,059.84	$1,101.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.06 / $902.06 / $902.06	Facility		$902.06	$902.06	$902.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $766.75 / $902.06	Professional		$766.75	$766.75	$902.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.56 / $1,676.18 / $2,225.15	Professional		$1,508.56	$1,676.18	$2,225.15
United Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $540.91 / $1,054.72	Facility		$66.12	$540.91	$1,054.72
United Facility/Professional Professional Modifier Low / Median / High Price $661.12 / $800.88 / $1,318.74	Professional		$661.12	$800.88	$1,318.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,035.01 / $1,035.01 / $1,378.02	Professional		$1,035.01	$1,035.01	$1,378.02