Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.09 / $760.00 / $1,239.18	Professional		$665.09	$760.00	$1,239.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.24 / $865.24 / $1,059.50	Professional		$865.24	$865.24	$1,059.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.52 / $950.52 / $950.52	Facility		$950.52	$950.52	$950.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $693.88 / $950.52	Professional		$693.88	$693.88	$950.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.93 / $1,549.90 / $2,231.86	Professional		$1,084.93	$1,549.90	$2,231.86
United Facility/Professional Professional Modifier Low / Median / High Price $698.15 / $799.82 / $1,226.11	Professional		$698.15	$799.82	$1,226.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $858.60 / $1,084.93	Professional		$858.60	$858.60	$1,084.93