Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.39 / $1,179.97 / $3,041.31	Professional		$984.39	$1,179.97	$3,041.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $1,241.21 / $1,375.00	Professional		$1,240.00	$1,241.21	$1,375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $3,314.62	Facility		$990.00	$1,012.17	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.88 / $1,520.26 / $2,595.04	Professional		$1,077.88	$1,520.26	$2,595.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.99 / $1,547.94 / $2,012.61	Professional		$1,194.99	$1,547.94	$2,012.61
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 $922.29 / $1,339.46 / $2,455.04	Professional		$922.29	$1,339.46	$2,455.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,095.97 / $1,379.94 / $1,694.85	Professional		$1,095.97	$1,379.94	$1,694.85