Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,089.30	Professional		$954.99	$1,148.15	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,737.80	Professional		$1,096.48	$1,230.27	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,819.70	Facility		$575.44	$602.56	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,089.30	Professional		$870.96	$1,230.27	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,621.81	Professional		$891.25	$1,174.90	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,096.48	Facility		$302.00	$416.87	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,137.96	Professional		$851.14	$1,202.26	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,513.56	Professional		$831.76	$1,318.26	$1,513.56