Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.42 / $1,071.96 / $1,581.24	Professional		$873.42	$1,071.96	$1,581.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,037.58 / $1,139.22 / $1,302.13	Professional		$1,037.58	$1,139.22	$1,302.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,134.73	Facility		$507.00	$518.54	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.09 / $1,271.33 / $2,355.07	Professional		$900.09	$1,271.33	$2,355.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.08 / $1,395.91 / $1,805.60	Professional		$1,072.08	$1,395.91	$1,805.60
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.10 / $1,011.09 / $1,994.47	Professional		$706.10	$1,011.09	$1,994.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $833.98 / $1,244.41 / $1,523.66	Professional		$833.98	$1,244.41	$1,523.66