Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.60 / $1,204.58 / $1,584.03	Professional		$996.60	$1,204.58	$1,584.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,086.26 / $1,206.95 / $1,653.52	Professional		$1,086.26	$1,206.95	$1,653.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $629.00 / $2,530.00	Facility		$582.00	$629.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.71 / $1,290.82 / $2,338.69	Professional		$925.71	$1,290.82	$2,338.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,041.31 / $1,322.90 / $1,781.11	Professional		$1,041.31	$1,322.90	$1,781.11
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,204.15 / $2,038.87	Professional		$865.15	$1,204.15	$2,038.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $866.59 / $1,279.83 / $1,561.97	Professional		$866.59	$1,279.83	$1,561.97