Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.17 / $926.92 / $1,591.35	Professional		$833.17	$926.92	$1,591.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,092.00 / $1,391.59	Professional		$1,092.00	$1,092.00	$1,391.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,206.80	Professional		$880.96	$880.96	$1,206.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.99 / $2,035.70 / $2,931.41	Professional		$1,424.99	$2,035.70	$2,931.41
United Facility/Professional Professional Modifier Low / Median / High Price $874.85 / $1,015.58 / $1,618.83	Professional		$874.85	$1,015.58	$1,618.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.05 / $1,157.05 / $1,424.99	Professional		$1,157.05	$1,157.05	$1,424.99