Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.27 / $811.35 / $1,574.28	Professional		$689.27	$811.35	$1,574.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $887.00 / $1,131.08	Professional		$887.00	$887.00	$1,131.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.23 / $1,654.62 / $2,382.65	Professional		$1,158.23	$1,654.62	$2,382.65
United Facility/Professional Professional Modifier Low / Median / High Price $763.22 / $870.42 / $1,308.98	Professional		$763.22	$870.42	$1,308.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,001.23 / $1,001.23 / $1,158.23	Professional		$1,001.23	$1,001.23	$1,158.23