Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.70 / $642.24 / $1,219.92	Professional		$638.70	$642.24	$1,219.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $837.00 / $1,066.77	Professional		$837.00	$837.00	$1,066.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $1,181.16	Professional		$650.69	$650.69	$1,181.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.38 / $1,560.54 / $2,247.17	Professional		$1,092.38	$1,560.54	$2,247.17
United Facility/Professional Professional Modifier Low / Median / High Price $643.21 / $778.53 / $1,240.97	Professional		$643.21	$778.53	$1,240.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.61 / $854.61 / $1,092.38	Professional		$854.61	$854.61	$1,092.38