Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,126.73 / $2,800.32	Professional		$944.47	$1,126.73	$2,800.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,136.03 / $1,199.34 / $1,343.27	Professional		$1,136.03	$1,199.34	$1,343.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $6,262.53	Facility		$507.00	$518.54	$6,262.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.29 / $1,459.73 / $2,935.62	Professional		$1,017.29	$1,459.73	$2,935.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.94 / $1,512.65 / $2,262.98	Professional		$1,171.94	$1,512.65	$2,262.98
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 $852.57 / $1,240.39 / $2,348.26	Professional		$852.57	$1,240.39	$2,348.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,033.27 / $1,348.49 / $1,655.77	Professional		$1,033.27	$1,348.49	$1,655.77