Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,630.27	Professional		$831.76	$1,000.00	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,412.54	Professional		$1,023.29	$1,148.15	$1,412.54
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 $912.01 / $1,230.27 / $2,238.72	Professional		$912.01	$1,230.27	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,737.80	Professional		$954.99	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,000.00 / $3,548.13	Facility		$912.01	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,995.26	Professional		$776.25	$1,096.48	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,445.44	Professional		$933.25	$1,122.02	$1,445.44