Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.77 / $892.06 / $1,212.55	Professional		$726.77	$892.06	$1,212.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.84 / $1,219.84 / $1,219.84	Professional		$1,219.84	$1,219.84	$1,219.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $949.10 / $1,150.08	Professional		$949.10	$949.10	$1,150.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,532.57 / $1,839.09	Professional		$1,192.00	$1,532.57	$1,839.09
United Facility/Professional Professional Modifier Low / Median / High Price $661.67 / $859.28 / $1,415.34	Professional		$661.67	$859.28	$1,415.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,196.21 / $1,196.21 / $1,447.43	Professional		$1,196.21	$1,196.21	$1,447.43