Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.85 / $1,076.35 / $1,184.36	Professional		$930.85	$1,076.35	$1,184.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,154.92 / $1,199.21 / $1,343.12	Professional		$1,154.92	$1,199.21	$1,343.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $3,314.62	Facility		$507.00	$641.21	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.98 / $1,424.42 / $2,795.62	Professional		$990.98	$1,424.42	$2,795.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.92 / $1,440.03 / $2,162.65	Professional		$1,114.92	$1,440.03	$2,162.65
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 $826.89 / $1,195.63 / $2,179.83	Professional		$826.89	$1,195.63	$2,179.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,007.55 / $1,283.75 / $1,576.26	Professional		$1,007.55	$1,283.75	$1,576.26