Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.56 / $1,056.79 / $2,898.52	Professional		$963.56	$1,056.79	$2,898.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,123.36 / $1,140.24 / $1,780.00	Professional		$1,123.36	$1,140.24	$1,780.00
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 $957.26 / $1,407.88 / $2,588.30	Professional		$957.26	$1,407.88	$2,588.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.26 / $1,348.39 / $1,806.26	Professional		$1,045.26	$1,348.39	$1,806.26
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.13 / $1,336.05 / $2,466.73	Professional		$894.13	$1,336.05	$2,466.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,045.26 / $1,202.05 / $1,493.81	Professional		$1,045.26	$1,202.05	$1,493.81