Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,818.38	Professional		$912.01	$1,096.48	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,479.11	Professional		$1,047.13	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $6,309.57	Facility		$630.96	$645.65	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,398.83	Professional		$954.99	$1,318.26	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,905.46	Professional		$1,023.29	$1,148.15	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,884.03	Facility		$776.25	$1,000.00	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,187.76	Professional		$851.14	$1,202.26	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,584.89	Professional		$1,000.00	$1,230.27	$1,584.89