Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.61 / $958.75 / $1,717.80	Professional		$793.61	$958.75	$1,717.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,034.00 / $1,034.00 / $1,318.21	Professional		$1,034.00	$1,034.00	$1,318.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $826.96	Professional		$826.96	$826.96	$826.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.85 / $1,928.36 / $2,776.84	Professional		$1,349.85	$1,928.36	$2,776.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $901.94 / $1,069.20 / $1,525.53	Professional		$901.94	$1,069.20	$1,525.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,097.01 / $1,097.01 / $1,349.85	Professional		$1,097.01	$1,097.01	$1,349.85