Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.52 / $992.62 / $1,693.25	Professional		$886.52	$992.62	$1,693.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,161.00 / $1,480.69	Professional		$1,161.00	$1,161.00	$1,480.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,306.07	Professional		$953.43	$953.43	$1,306.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.23 / $2,166.04 / $3,119.10	Professional		$1,516.23	$2,166.04	$3,119.10
United Facility/Professional Professional Modifier Low / Median / High Price $907.80 / $1,080.60 / $1,722.49	Professional		$907.80	$1,080.60	$1,722.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,017.63 / $1,252.24 / $1,516.23	Professional		$1,017.63	$1,252.24	$1,516.23