Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.91 / $1,058.48 / $1,162.00	Professional		$917.91	$1,058.48	$1,162.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,050.18 / $1,139.22 / $1,253.14	Professional		$1,050.18	$1,139.22	$1,253.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $3,314.62	Facility		$715.00	$728.96	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.86 / $1,382.02 / $2,328.37	Professional		$972.86	$1,382.02	$2,328.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,090.50 / $1,408.85 / $1,836.62	Professional		$1,090.50	$1,408.85	$1,836.62
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 $812.34 / $1,116.86 / $1,983.87	Professional		$812.34	$1,116.86	$1,983.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $987.45 / $1,255.95 / $1,545.03	Professional		$987.45	$1,255.95	$1,545.03