Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.59 / $663.50 / $1,160.50	Professional		$607.59	$663.50	$1,160.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.19 / $870.19 / $1,014.81	Professional		$870.19	$870.19	$1,014.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,149.77	Professional		$839.33	$839.33	$1,149.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.16 / $1,484.52 / $2,137.71	Professional		$1,039.16	$1,484.52	$2,137.71
United Facility/Professional Professional Modifier Low / Median / High Price $627.69 / $740.61 / $1,180.52	Professional		$627.69	$740.61	$1,180.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $889.39 / $889.39 / $1,039.16	Professional		$889.39	$889.39	$1,039.16