Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,290.87	Professional		$891.25	$1,023.29	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,412.54	Professional		$1,000.00	$1,096.48	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $8,912.51	Facility		$630.96	$645.65	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,238.72	Professional		$954.99	$1,318.26	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $1,862.09	Professional		$954.99	$1,071.52	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $954.99 / $2,884.03	Facility		$776.25	$954.99	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,041.74	Professional		$851.14	$1,202.26	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,479.11	Professional		$1,023.29	$1,148.15	$1,479.11