Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $4,570.88	Professional		$977.24	$1,148.15	$4,570.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,548.82	Professional		$1,096.48	$1,230.27	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $6,309.57	Facility		$512.86	$512.86	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,511.89	Professional		$1,000.00	$1,348.96	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $2,238.72	Professional		$1,071.52	$1,202.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,884.03	Facility		$776.25	$1,047.13	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,238.72	Professional		$870.96	$1,230.27	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,659.59	Professional		$1,023.29	$1,288.25	$1,659.59