Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.34 / $1,020.34 / $1,093.63	Professional		$900.34	$1,020.34	$1,093.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,053.17 / $1,053.17 / $1,185.11	Professional		$1,053.17	$1,053.17	$1,185.11
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 $918.01 / $1,307.84 / $2,412.90	Professional		$918.01	$1,307.84	$2,412.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.13 / $1,397.24 / $1,844.13	Professional		$1,083.13	$1,397.24	$1,844.13
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 $738.67 / $1,044.89 / $1,956.63	Professional		$738.67	$1,044.89	$1,956.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $894.25 / $1,245.59 / $1,529.79	Professional		$894.25	$1,245.59	$1,529.79