Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.80 / $880.51 / $1,575.37	Professional		$824.80	$880.51	$1,575.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,225.98 / $1,225.98 / $1,377.60	Professional		$1,225.98	$1,225.98	$1,377.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,335.63	Professional		$975.01	$975.01	$1,335.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,410.66 / $2,015.23 / $2,901.93	Professional		$1,410.66	$2,015.23	$2,901.93
United Facility/Professional Professional Modifier Low / Median / High Price $779.88 / $1,005.38 / $1,602.56	Professional		$779.88	$1,005.38	$1,602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,105.01 / $1,105.01 / $1,410.66	Professional		$1,105.01	$1,105.01	$1,410.66