Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,380.38	Professional		$562.34	$741.31	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $954.99	Professional		$741.31	$741.31	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Professional		$630.96	$630.96	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,089.30	Professional		$977.24	$1,412.54	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $1,047.13	Facility		$467.74	$676.08	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,096.48	Professional		$616.60	$691.83	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,174.90	Professional		$831.76	$831.76	$1,174.90