Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,412.54	Professional		$630.96	$794.33	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional		$870.96	$870.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,398.83	Professional		$1,096.48	$1,584.89	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,071.52	Facility		$478.63	$691.83	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,230.27	Professional		$645.65	$776.25	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,318.26	Professional		$851.14	$851.14	$1,318.26