Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $2,454.71	Professional		$851.14	$1,000.00	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,513.56	Professional		$870.96	$954.99	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,754.23 / $3,162.28	Facility		$707.95	$2,754.23	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,778.28	Professional		$707.95	$1,047.13	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,412.54	Professional		$758.58	$977.24	$1,412.54
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 $741.31 / $1,023.29 / $1,778.28	Professional		$741.31	$1,023.29	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,258.93	Professional		$741.31	$1,096.48	$1,258.93