Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.17 / $1,075.43 / $2,135.44	Professional		$934.17	$1,075.43	$2,135.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,081.74 / $1,081.74 / $1,240.00	Professional		$1,081.74	$1,081.74	$1,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.27 / $1,351.36 / $2,458.46	Professional		$934.27	$1,351.36	$2,458.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.19 / $1,448.92 / $1,896.30	Professional		$1,123.19	$1,448.92	$1,896.30
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,560.00 / $2,882.00	Facility		$847.00	$1,560.00	$2,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.24 / $1,130.84 / $2,203.42	Professional		$769.24	$1,130.84	$2,203.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $932.86 / $1,291.67 / $1,586.22	Professional		$932.86	$1,291.67	$1,586.22