Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,318.26	Professional		$602.56	$758.58	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,238.72	Professional		$1,047.13	$1,513.56	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $1,000.00	Facility		$457.09	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,174.90	Professional		$602.56	$724.44	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,258.93	Professional		$812.83	$812.83	$1,258.93