Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.76 / $1,161.83 / $1,267.48	Professional		$995.76	$1,161.83	$1,267.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,139.13 / $1,221.18 / $1,300.86	Professional		$1,139.13	$1,221.18	$1,300.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,966.99	Facility		$627.00	$641.21	$1,966.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.69 / $1,533.19 / $2,565.19	Professional		$1,068.69	$1,533.19	$2,565.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.54 / $1,529.15 / $2,115.80	Professional		$1,180.54	$1,529.15	$2,115.80
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.87 / $1,330.12 / $2,472.94	Professional		$878.87	$1,330.12	$2,472.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.70 / $1,363.20 / $1,673.75	Professional		$1,078.70	$1,363.20	$1,673.75