Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.55 / $1,172.49 / $1,524.00	Professional		$948.55	$1,172.49	$1,524.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $969.28 / $1,076.98 / $1,464.69	Professional		$969.28	$1,076.98	$1,464.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,474.16 / $2,213.00	Facility		$525.00	$1,474.16	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.08 / $1,232.43 / $2,279.19	Professional		$866.08	$1,232.43	$2,279.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,014.17 / $1,247.61 / $1,736.94	Professional		$1,014.17	$1,247.61	$1,736.94
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.82 / $1,168.50 / $2,112.06	Professional		$826.82	$1,168.50	$2,112.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $825.91 / $1,247.61 / $1,521.25	Professional		$825.91	$1,247.61	$1,521.25