Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.14 / $850.64 / $1,344.91	Professional		$704.14	$850.64	$1,344.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $922.00 / $1,176.07	Professional		$922.00	$922.00	$1,176.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,204.30 / $1,720.43 / $2,477.42	Professional		$1,204.30	$1,720.43	$2,477.42
United Facility/Professional Professional Modifier Low / Median / High Price $727.44 / $858.30 / $1,368.12	Professional		$727.44	$858.30	$1,368.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,030.71 / $1,030.71 / $1,204.30	Professional		$1,030.71	$1,030.71	$1,204.30