Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,513.56	Professional		$691.83	$933.25	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,230.27	Professional		$977.24	$977.24	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,691.53	Professional		$1,258.93	$1,819.70	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,174.90	Facility		$1,023.29	$1,148.15	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,380.38	Professional		$794.33	$912.01	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,513.56	Professional		$933.25	$933.25	$1,513.56