Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,202.26	Professional		$630.96	$741.31	$1,202.26
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 $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $977.24	Professional		$707.95	$707.95	$977.24
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 $467.74 / $676.08 / $1,023.29	Facility		$467.74	$676.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,230.27	Professional		$616.60	$776.25	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,318.26	Professional		$812.83	$812.83	$1,318.26