Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $1,164.06 / $1,258.72	Professional		$966.35	$1,164.06	$1,258.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,149.64 / $1,149.64 / $1,460.04	Professional		$1,149.64	$1,149.64	$1,460.04
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 $975.93 / $1,351.09 / $2,609.81	Professional		$975.93	$1,351.09	$2,609.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.84 / $1,597.82 / $2,056.17	Professional		$1,220.84	$1,597.82	$2,056.17
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 $831.90 / $1,280.70 / $2,341.46	Professional		$831.90	$1,280.70	$2,341.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $944.31 / $1,424.41 / $1,712.55	Professional		$944.31	$1,424.41	$1,712.55