Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,698.24	Professional		$776.25	$1,258.93	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,659.59	Professional		$1,174.90	$1,288.25	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $3,311.31	Facility		$512.86	$645.65	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $4,073.80	Professional		$1,096.48	$1,737.80	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $2,511.89	Professional		$1,479.11	$1,659.59	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,548.13	Facility		$912.01	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $2,344.23	Professional		$602.56	$1,174.90	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01