Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.66 / $1,252.19 / $1,662.38	Professional		$992.66	$1,252.19	$1,662.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $903.79 / $1,222.08 / $1,662.03	Professional		$903.79	$1,222.08	$1,662.03
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 $937.01 / $1,332.71 / $2,479.73	Professional		$937.01	$1,332.71	$2,479.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.58 / $1,349.13 / $1,901.24	Professional		$1,096.58	$1,349.13	$1,901.24
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 $893.58 / $1,232.68 / $2,381.12	Professional		$893.58	$1,232.68	$2,381.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $835.53 / $1,349.13 / $1,645.38	Professional		$835.53	$1,349.13	$1,645.38