Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.08 / $1,233.96 / $1,452.47	Professional		$963.08	$1,233.96	$1,452.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,485.20 / $2,350.17	Professional		$1,430.00	$1,485.20	$2,350.17
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 $919.81 / $1,460.22 / $2,903.78	Professional		$919.81	$1,460.22	$2,903.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.89 / $1,351.12 / $1,910.39	Professional		$1,099.89	$1,351.12	$1,910.39
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 $911.72 / $1,622.31 / $3,075.39	Professional		$911.72	$1,622.31	$3,075.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,223.69 / $1,223.69 / $1,223.69	Professional		$1,223.69	$1,223.69	$1,223.69