Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.54 / $840.69 / $1,429.71	Professional		$748.54	$840.69	$1,429.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $981.00 / $981.00 / $1,250.24	Professional		$981.00	$981.00	$1,250.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,186.93	Professional		$866.46	$866.46	$1,186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.25 / $1,828.93 / $2,633.66	Professional		$1,280.25	$1,828.93	$2,633.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $757.43 / $912.43 / $1,454.41	Professional		$757.43	$912.43	$1,454.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $605.14 / $1,073.21 / $1,280.25	Professional		$605.14	$1,073.21	$1,280.25