Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.30 / $1,054.13 / $1,166.39	Professional		$917.30	$1,054.13	$1,166.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,054.82 / $1,126.97 / $1,262.21	Professional		$1,054.82	$1,126.97	$1,262.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $4,706.49	Facility		$715.00	$728.96	$4,706.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.43 / $1,385.29 / $2,367.48	Professional		$951.43	$1,385.29	$2,367.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.83 / $1,414.27 / $1,842.26	Professional		$1,093.83	$1,414.27	$1,842.26
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.65 / $1,170.08 / $2,196.73	Professional		$816.65	$1,170.08	$2,196.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $963.06 / $1,260.78 / $1,548.15	Professional		$963.06	$1,260.78	$1,548.15