Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.69 / $1,003.47 / $1,076.61	Professional		$862.69	$1,003.47	$1,076.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $990.69 / $1,057.30 / $1,146.78	Professional		$990.69	$1,057.30	$1,146.78
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 $917.89 / $1,302.41 / $2,225.64	Professional		$917.89	$1,302.41	$2,225.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.17 / $1,328.22 / $1,729.97	Professional		$1,027.17	$1,328.22	$1,729.97
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.05 / $1,095.80 / $2,090.79	Professional		$767.05	$1,095.80	$2,090.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.53 / $1,184.07 / $1,454.04	Professional		$933.53	$1,184.07	$1,454.04