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 / $1,380.38	Professional		$912.01	$1,096.48	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,454.71	Professional		$977.24	$1,348.96	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $2,187.76	Professional		$1,122.02	$1,230.27	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,023.29 / $3,548.13	Facility		$912.01	$1,023.29	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,137.96	Professional		$812.83	$1,288.25	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59