Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.24 / $1,095.83 / $1,480.04	Professional		$874.24	$1,095.83	$1,480.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $934.78 / $1,051.70 / $1,440.83	Professional		$934.78	$1,051.70	$1,440.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $1,441.78 / $2,470.35	Facility		$818.00	$1,441.78	$2,470.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.88 / $1,155.67 / $2,084.77	Professional		$811.88	$1,155.67	$2,084.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.44 / $1,168.18 / $1,652.35	Professional		$952.44	$1,168.18	$1,652.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,679.00 / $3,590.00	Facility		$1,236.00	$1,679.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.41 / $1,081.42 / $2,001.25	Professional		$803.41	$1,081.42	$2,001.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $732.90 / $1,160.34 / $1,428.66	Professional		$732.90	$1,160.34	$1,428.66