Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.75 / $812.63 / $1,352.04	Professional		$752.75	$812.63	$1,352.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $886.00 / $1,129.23	Professional		$886.00	$886.00	$1,129.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,324.18	Professional		$966.65	$966.65	$1,324.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.33 / $1,651.91 / $2,378.75	Professional		$1,156.33	$1,651.91	$2,378.75
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.63 / $868.99 / $1,306.83	Professional		$772.63	$868.99	$1,306.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $999.58 / $999.58 / $1,156.33	Professional		$999.58	$999.58	$1,156.33