Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,089.30	Professional		$977.24	$1,202.26	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,698.24	Professional		$1,071.52	$1,202.26	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,862.09	Facility		$575.44	$602.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,187.76	Professional		$891.25	$1,258.93	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,659.59	Professional		$912.01	$1,202.26	$1,659.59
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 $870.96 / $1,230.27 / $2,187.76	Professional		$870.96	$1,230.27	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,548.82	Professional		$891.25	$1,348.96	$1,548.82