Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.78 / $1,042.48 / $2,666.68	Professional		$915.78	$1,042.48	$2,666.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,113.67 / $1,113.67 / $1,296.00	Professional		$1,113.67	$1,113.67	$1,296.00
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 $936.21 / $1,389.14 / $2,573.89	Professional		$936.21	$1,389.14	$2,573.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.75 / $1,352.89 / $1,769.36	Professional		$1,048.75	$1,352.89	$1,769.36
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.24 / $1,118.68 / $2,201.90	Professional		$797.24	$1,118.68	$2,201.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $1,206.06 / $1,502.15	Professional		$957.73	$1,206.06	$1,502.15