Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.46 / $1,036.79 / $4,674.68	Professional		$912.46	$1,036.79	$4,674.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,124.79 / $1,193.58 / $1,364.27	Professional		$1,124.79	$1,193.58	$1,364.27
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 $848.36 / $1,211.97 / $2,412.15	Professional		$848.36	$1,211.97	$2,412.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.26 / $1,252.93 / $2,129.25	Professional		$971.26	$1,252.93	$2,129.25
United Facility/Professional Professional Modifier Low / Median / High Price $779.60 / $1,045.24 / $1,761.41	Professional		$779.60	$1,045.24	$1,761.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $1,116.95 / $1,377.84	Professional		$701.04	$1,116.95	$1,377.84