Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,548.82	Professional		$602.56	$758.58	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,238.72	Professional		$1,047.13	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $1,023.29	Facility		$467.74	$676.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,174.90	Professional		$616.60	$724.44	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,230.27	Professional		$831.76	$831.76	$1,230.27