Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.31 / $954.88 / $1,639.37	Professional		$858.31	$954.88	$1,639.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.00 / $1,124.00 / $1,433.58	Professional		$1,124.00	$1,124.00	$1,433.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,207.09	Professional		$881.18	$881.18	$1,207.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,467.98 / $2,097.12 / $3,019.85	Professional		$1,467.98	$2,097.12	$3,019.85
United Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $1,046.23 / $1,667.67	Professional		$839.00	$1,046.23	$1,667.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.34 / $1,157.34 / $1,467.98	Professional		$1,157.34	$1,157.34	$1,467.98