Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.66 / $1,031.52 / $1,116.23	Professional		$889.66	$1,031.52	$1,116.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,087.46 / $1,087.46 / $1,395.80	Professional		$1,087.46	$1,087.46	$1,395.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $10,233.93	Facility		$627.00	$641.21	$10,233.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.81 / $1,326.35 / $2,267.14	Professional		$948.81	$1,326.35	$2,267.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.10 / $1,356.09 / $1,765.23	Professional		$1,048.10	$1,356.09	$1,765.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.61 / $1,118.43 / $2,128.91	Professional		$778.61	$1,118.43	$2,128.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $965.95 / $1,208.91 / $1,484.31	Professional		$965.95	$1,208.91	$1,484.31