Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,454.71	Professional		$812.83	$1,000.00	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,348.96	Professional		$977.24	$1,096.48	$1,348.96
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 $851.14 / $1,202.26 / $2,187.76	Professional		$851.14	$1,202.26	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,737.80	Professional		$933.25	$1,047.13	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $4,073.80	Facility		$912.01	$2,187.76	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,995.26	Professional		$758.58	$1,071.52	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,412.54	Professional		$870.96	$1,122.02	$1,412.54