Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,949.84	Professional		$851.14	$1,047.13	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,513.56	Professional		$954.99	$1,047.13	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,621.81	Facility		$575.44	$602.56	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,905.46	Professional		$776.25	$1,096.48	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,513.56	Professional		$794.33	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,235.94	Facility		$1,023.29	$1,445.44	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,905.46	Professional		$776.25	$1,071.52	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,348.96	Professional		$776.25	$1,174.90	$1,348.96