Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.90 / $927.59 / $1,659.60	Professional		$868.90	$927.59	$1,659.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,356.13 / $1,356.13 / $1,451.27	Professional		$1,356.13	$1,356.13	$1,451.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,540.39	Professional		$1,124.48	$1,124.48	$1,540.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.10 / $2,123.00 / $3,057.12	Professional		$1,486.10	$2,123.00	$3,057.12
United Facility/Professional Professional Modifier Low / Median / High Price $821.60 / $1,059.14 / $1,688.25	Professional		$821.60	$1,059.14	$1,688.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,164.16 / $1,164.16 / $1,486.10	Professional		$1,164.16	$1,164.16	$1,486.10