Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.23 / $1,214.25 / $5,120.72	Professional		$994.23	$1,214.25	$5,120.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,018.36 / $1,126.08 / $1,287.10	Professional		$1,018.36	$1,126.08	$1,287.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.84 / $1,243.98 / $2,626.95	Professional		$896.84	$1,243.98	$2,626.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.96 / $1,338.97 / $2,292.02	Professional		$1,037.96	$1,338.97	$2,292.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,882.00 / $2,882.00 / $2,882.00	Facility		$2,882.00	$2,882.00	$2,882.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.30 / $1,075.73 / $1,944.38	Professional		$798.30	$1,075.73	$1,944.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.44 / $1,193.65 / $1,474.57	Professional		$701.44	$1,193.65	$1,474.57