Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.46 / $858.50 / $1,215.80	Professional		$767.46	$858.50	$1,215.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,041.75 / $1,041.75 / $1,281.83	Professional		$1,041.75	$1,041.75	$1,281.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,037.25	Professional		$757.19	$757.19	$1,037.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.60 / $1,875.14 / $2,700.20	Professional		$1,312.60	$1,875.14	$2,700.20
United Facility/Professional Professional Modifier Low / Median / High Price $747.74 / $935.48 / $1,491.15	Professional		$747.74	$935.48	$1,491.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,019.12 / $1,124.88 / $1,312.60	Professional		$1,019.12	$1,124.88	$1,312.60