Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.92 / $931.39 / $1,618.76	Professional		$727.92	$931.39	$1,618.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $937.00 / $1,194.51	Professional		$937.00	$937.00	$1,194.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.18 / $1,747.40 / $2,516.26	Professional		$1,223.18	$1,747.40	$2,516.26
United Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $901.75 / $1,382.37	Professional		$787.12	$901.75	$1,382.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.36 / $1,057.36 / $1,223.18	Professional		$1,057.36	$1,057.36	$1,223.18