Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.63 / $785.16 / $1,410.38	Professional		$639.63	$785.16	$1,410.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,056.26 / $1,056.26 / $1,056.26	Professional		$1,056.26	$1,056.26	$1,056.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $642.26	Facility		$642.26	$642.26	$642.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $545.91 / $642.26	Professional		$545.91	$545.91	$642.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.45 / $1,630.50 / $2,075.90	Professional		$1,467.45	$1,630.50	$2,075.90
United Facility/Professional Professional Modifier Low / Median / High Price $658.88 / $778.68 / $1,267.60	Professional		$658.88	$778.68	$1,267.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,031.51 / $1,031.51 / $1,285.71	Professional		$1,031.51	$1,031.51	$1,285.71