Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.97 / $1,025.05 / $1,136.75	Professional		$900.97	$1,025.05	$1,136.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,080.59 / $1,096.79 / $1,228.40	Professional		$1,080.59	$1,096.79	$1,228.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.91 / $1,256.24 / $2,304.00	Professional		$887.91	$1,256.24	$2,304.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.94 / $1,358.15 / $1,770.00	Professional		$1,050.94	$1,358.15	$1,770.00
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 $742.30 / $1,109.91 / $2,113.67	Professional		$742.30	$1,109.91	$2,113.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $905.27 / $1,210.75 / $1,490.66	Professional		$905.27	$1,210.75	$1,490.66