Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.33 / $782.00 / $1,573.05	Professional		$664.33	$782.00	$1,573.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $855.00 / $1,090.17	Professional		$855.00	$855.00	$1,090.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,020.64	Professional		$745.07	$745.07	$1,020.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.33 / $1,594.75 / $2,296.44	Professional		$1,116.33	$1,594.75	$2,296.44
United Facility/Professional Professional Modifier Low / Median / High Price $718.36 / $822.97 / $1,261.60	Professional		$718.36	$822.97	$1,261.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $965.00 / $965.00 / $1,116.33	Professional		$965.00	$965.00	$1,116.33