Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.23 / $1,033.15 / $1,133.72	Professional		$896.23	$1,033.15	$1,133.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,095.48 / $1,095.48 / $1,670.00	Professional		$1,095.48	$1,095.48	$1,670.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $728.96 / $13,252.11	Facility		$507.00	$728.96	$13,252.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.87 / $1,347.81 / $2,306.13	Professional		$947.87	$1,347.81	$2,306.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.75 / $1,377.29 / $1,793.26	Professional		$1,064.75	$1,377.29	$1,793.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $3,677.00 / $4,028.00	Facility		$2,169.00	$3,677.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.66 / $1,102.74 / $2,166.86	Professional		$787.66	$1,102.74	$2,166.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $962.46 / $1,227.82 / $1,507.38	Professional		$962.46	$1,227.82	$1,507.38