Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.78 / $1,165.25 / $3,044.52	Professional		$974.78	$1,165.25	$3,044.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,297.83 / $1,330.76 / $1,521.05	Professional		$1,297.83	$1,330.76	$1,521.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.08 / $1,578.30 / $3,007.81	Professional		$1,071.08	$1,578.30	$3,007.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.94 / $1,606.56 / $2,599.40	Professional		$1,207.94	$1,606.56	$2,599.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.22 / $1,383.99 / $2,527.71	Professional		$1,015.22	$1,383.99	$2,527.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,389.13 / $1,714.57	Professional		$1,101.09	$1,389.13	$1,714.57