Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,162.28	Professional		$977.24	$1,202.26	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,698.24	Professional		$1,230.27	$1,380.38	$1,698.24
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 $1,047.13 / $1,479.11 / $2,630.27	Professional		$1,047.13	$1,479.11	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $2,290.87	Professional		$1,122.02	$1,230.27	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $3,548.13	Facility		$912.01	$1,122.02	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,398.83	Professional		$977.24	$1,380.38	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,698.24	Professional		$1,122.02	$1,318.26	$1,698.24