Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $1,018.71 / $1,177.19	Professional		$878.37	$1,018.71	$1,177.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,127.33 / $1,131.94 / $1,199.85	Professional		$1,127.33	$1,131.94	$1,199.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.66 / $1,201.57 / $2,213.53	Professional		$865.66	$1,201.57	$2,213.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.14 / $1,389.15 / $1,783.81	Professional		$1,059.14	$1,389.15	$1,783.81
United Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $471.00	Facility		$173.00	$173.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.50 / $1,112.93 / $2,165.78	Professional		$721.50	$1,112.93	$2,165.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $855.45 / $1,238.39 / $1,487.79	Professional		$855.45	$1,238.39	$1,487.79