Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.30 / $931.43 / $1,622.16	Professional		$849.30	$931.43	$1,622.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,113.00 / $1,418.53	Professional		$1,113.00	$1,113.00	$1,418.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $1,277.46	Facility		$1,277.46	$1,277.46	$1,277.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,277.46	Professional		$932.55	$932.55	$1,277.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,452.58 / $2,075.11 / $2,988.16	Professional		$1,452.58	$2,075.11	$2,988.16
United Facility/Professional Professional Modifier Low / Median / High Price $817.33 / $1,035.25 / $1,650.18	Professional		$817.33	$1,035.25	$1,650.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $1,127.45 / $1,452.58	Professional		$1,038.65	$1,127.45	$1,452.58