Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,344.23	Professional		$758.58	$1,000.00	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,096.48	Professional		$776.25	$912.01	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,290.87	Professional		$741.31	$1,122.02	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,548.82	Professional		$812.83	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,737.80	Professional		$707.95	$977.24	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,258.93	Professional		$660.69	$1,047.13	$1,258.93