Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $3,019.95	Professional		$912.01	$1,071.52	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,479.11	Professional		$1,071.52	$1,202.26	$1,479.11
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 $977.24 / $1,348.96 / $2,290.87	Professional		$977.24	$1,348.96	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,949.84	Professional		$1,023.29	$1,148.15	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,000.00 / $3,548.13	Facility		$912.01	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,089.30	Professional		$851.14	$1,174.90	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,584.89	Professional		$1,023.29	$1,230.27	$1,584.89