Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.65 / $719.15 / $1,286.67	Professional		$673.65	$719.15	$1,286.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,001.33 / $1,001.33 / $1,125.15	Professional		$1,001.33	$1,001.33	$1,125.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $1,645.94 / $2,370.15	Professional		$1,152.16	$1,645.94	$2,370.15
United Facility/Professional Professional Modifier Low / Median / High Price $636.97 / $821.14 / $1,308.88	Professional		$636.97	$821.14	$1,308.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $911.57 / $911.57 / $1,152.16	Professional		$911.57	$911.57	$1,152.16