Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.94 / $1,060.61 / $1,152.33	Professional		$909.94	$1,060.61	$1,152.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.79 / $1,117.79 / $1,430.00	Professional		$1,117.79	$1,117.79	$1,430.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $3,314.62	Facility		$627.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.80 / $1,373.16 / $2,347.64	Professional		$962.80	$1,373.16	$2,347.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.17 / $1,401.20 / $1,824.29	Professional		$1,083.17	$1,401.20	$1,824.29
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 $798.75 / $1,157.53 / $2,208.57	Professional		$798.75	$1,157.53	$2,208.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $978.57 / $1,249.13 / $1,533.86	Professional		$978.57	$1,249.13	$1,533.86