Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,412.54	Professional		$630.96	$870.96	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,148.15	Professional		$912.01	$912.01	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,511.89	Professional		$1,148.15	$1,659.59	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,122.02	Facility		$954.99	$1,096.48	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,288.25	Professional		$724.44	$831.76	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,380.38	Professional		$870.96	$870.96	$1,380.38