Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.66 / $941.36 / $1,666.78	Professional		$872.66	$941.36	$1,666.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,143.00 / $1,143.00 / $1,457.55	Professional		$1,143.00	$1,143.00	$1,457.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,399.15	Professional		$1,021.38	$1,021.38	$1,399.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.53 / $2,132.19 / $3,070.35	Professional		$1,492.53	$2,132.19	$3,070.35
United Facility/Professional Professional Modifier Low / Median / High Price $877.19 / $1,063.72 / $1,695.56	Professional		$877.19	$1,063.72	$1,695.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,160.14 / $1,160.14 / $1,492.53	Professional		$1,160.14	$1,160.14	$1,492.53