Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,884.03	Professional		$977.24	$1,122.02	$2,884.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,584.89	Professional		$1,148.15	$1,288.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,454.71	Professional		$1,047.13	$1,412.54	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,905.46	Professional		$977.24	$1,096.48	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,884.03	Facility		$776.25	$1,023.29	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,187.76	Professional		$891.25	$1,258.93	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,513.56	Professional		$1,047.13	$1,174.90	$1,513.56