Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.53 / $865.49 / $1,411.18	Professional		$690.53	$865.49	$1,411.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $984.04 / $989.13 / $1,206.56	Professional		$984.04	$989.13	$1,206.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.52 / $1,765.03 / $2,541.64	Professional		$1,235.52	$1,765.03	$2,541.64
United Facility/Professional Professional Modifier Low / Median / High Price $770.08 / $924.58 / $1,396.31	Professional		$770.08	$924.58	$1,396.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $934.03 / $934.03 / $1,235.52	Professional		$934.03	$934.03	$1,235.52