Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.42 / $989.92 / $1,565.09	Professional		$819.42	$989.92	$1,565.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.69 / $1,117.69 / $1,368.62	Professional		$1,117.69	$1,117.69	$1,368.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,304.10	Professional		$952.00	$952.00	$1,304.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.47 / $2,002.10 / $2,883.02	Professional		$1,401.47	$2,002.10	$2,883.02
United Facility/Professional Professional Modifier Low / Median / High Price $846.54 / $998.83 / $1,592.11	Professional		$846.54	$998.83	$1,592.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,199.46 / $1,199.46 / $1,401.47	Professional		$1,199.46	$1,199.46	$1,401.47