Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.35 / $1,102.72 / $1,918.73	Professional		$945.35	$1,102.72	$1,918.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,164.76 / $1,164.76 / $1,479.25	Professional		$1,164.76	$1,164.76	$1,479.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,134.73 / $1,335.00	Facility		$641.21	$1,134.73	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.91 / $1,466.31 / $2,722.24	Professional		$1,010.91	$1,466.31	$2,722.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,115.11 / $1,440.00 / $2,155.94	Professional		$1,115.11	$1,440.00	$2,155.94
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.42 / $1,185.20 / $2,084.71	Professional		$857.42	$1,185.20	$2,084.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,072.77 / $1,283.72 / $1,577.34	Professional		$1,072.77	$1,283.72	$1,577.34