Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,949.84	Professional		$870.96	$1,071.52	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,659.59	Professional		$954.99	$1,047.13	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $3,890.45	Facility		$812.83	$2,754.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,905.46	Professional		$741.31	$1,096.48	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,584.89	Professional		$870.96	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,630.78	Facility		$1,230.27	$1,862.09	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,949.84	Professional		$812.83	$1,122.02	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,479.11	Professional		$724.44	$1,258.93	$1,479.11