Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.23 / $1,042.72 / $1,814.33	Professional		$924.23	$1,042.72	$1,814.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,195.45 / $1,195.45 / $1,518.22	Professional		$1,195.45	$1,195.45	$1,518.22
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 $977.90 / $1,426.28 / $2,316.08	Professional		$977.90	$1,426.28	$2,316.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.72 / $1,381.31 / $1,947.75	Professional		$1,051.72	$1,381.31	$1,947.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $1,171.26 / $2,344.13	Professional		$823.38	$1,171.26	$2,344.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,024.34 / $1,231.40 / $1,502.46	Professional		$1,024.34	$1,231.40	$1,502.46