Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.97 / $1,093.47 / $1,980.59	Professional		$965.97	$1,093.47	$1,980.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,102.24 / $1,209.00 / $1,311.32	Professional		$1,102.24	$1,209.00	$1,311.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $2,754.30	Facility		$507.00	$641.21	$2,754.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.83 / $1,369.18 / $2,498.27	Professional		$948.83	$1,369.18	$2,498.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.70 / $1,471.50 / $1,923.12	Professional		$1,140.70	$1,471.50	$1,923.12
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,560.00 / $2,882.00	Facility		$847.00	$1,560.00	$2,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.88 / $1,175.46 / $2,236.01	Professional		$842.88	$1,175.46	$2,236.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $918.75 / $1,311.81 / $1,614.65	Professional		$918.75	$1,311.81	$1,614.65