Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.56 / $1,005.07 / $1,300.34	Professional		$852.56	$1,005.07	$1,300.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $924.16 / $961.36 / $1,098.83	Professional		$924.16	$961.36	$1,098.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $3,986.93	Facility		$990.00	$1,012.17	$3,986.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.50 / $1,328.32 / $2,582.19	Professional		$904.50	$1,328.32	$2,582.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,257.85 / $1,622.64 / $2,158.31	Professional		$1,257.85	$1,622.64	$2,158.31
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 $935.99 / $1,397.47 / $2,605.56	Professional		$935.99	$1,397.47	$2,605.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.79 / $1,446.54 / $1,793.45	Professional		$858.79	$1,446.54	$1,793.45