Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.16 / $996.63 / $1,624.99	Professional		$872.16	$996.63	$1,624.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,252.48 / $1,252.48 / $1,389.37	Professional		$1,252.48	$1,252.48	$1,389.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,162.68	Professional		$988.28	$988.28	$1,162.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.72 / $2,032.46 / $2,926.74	Professional		$1,422.72	$2,032.46	$2,926.74
United Facility/Professional Professional Modifier Low / Median / High Price $699.17 / $1,013.97 / $1,607.88	Professional		$699.17	$1,013.97	$1,607.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,125.93 / $1,125.93 / $1,422.72	Professional		$1,125.93	$1,125.93	$1,422.72