Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.16 / $731.21 / $1,268.04	Professional		$631.16	$731.21	$1,268.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $775.00 / $987.48	Professional		$775.00	$775.00	$987.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.18 / $1,444.54 / $2,080.14	Professional		$1,011.18	$1,444.54	$2,080.14
United Facility/Professional Professional Modifier Low / Median / High Price $684.63 / $772.16 / $1,142.77	Professional		$684.63	$772.16	$1,142.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.10 / $874.10 / $1,011.18	Professional		$874.10	$874.10	$1,011.18