Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,754.23	Professional		$954.99	$1,148.15	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,659.59	Professional		$1,202.26	$1,348.96	$1,659.59
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 / $1,318.26 / $2,570.40	Professional		$977.24	$1,318.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $2,089.30	Professional		$1,230.27	$1,380.38	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $3,548.13	Facility		$912.01	$1,071.52	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $2,344.23	Professional		$831.76	$1,230.27	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,819.70	Professional		$933.25	$1,445.44	$1,819.70