Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.88 / $1,235.84 / $1,627.49	Professional		$981.88	$1,235.84	$1,627.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,190.00 / $1,217.38 / $1,667.81	Professional		$1,190.00	$1,217.38	$1,667.81
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 $954.00 / $1,313.77 / $2,447.64	Professional		$954.00	$1,313.77	$2,447.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,082.00 / $1,376.40 / $1,861.62	Professional		$1,082.00	$1,376.40	$1,861.62
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $413.00 / $1,109.00	Facility		$303.00	$413.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.78 / $1,229.04 / $2,192.17	Professional		$905.78	$1,229.04	$2,192.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $882.33 / $1,331.37 / $1,623.00	Professional		$882.33	$1,331.37	$1,623.00