Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.91 / $1,162.08 / $1,268.05	Professional		$994.91	$1,162.08	$1,268.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,195.97 / $1,328.85 / $1,461.74	Professional		$1,195.97	$1,328.85	$1,461.74
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 $1,013.59 / $1,439.04 / $2,562.25	Professional		$1,013.59	$1,439.04	$2,562.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,183.68 / $1,531.90 / $1,993.57	Professional		$1,183.68	$1,531.90	$1,993.57
United Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $1,003.00 / $2,156.00	Facility		$918.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.92 / $1,330.38 / $2,458.04	Professional		$886.92	$1,330.38	$2,458.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,029.31 / $1,365.65 / $1,676.85	Professional		$1,029.31	$1,365.65	$1,676.85