Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.94 / $1,223.94 / $1,326.48	Professional		$924.94	$1,223.94	$1,326.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $860.76 / $1,289.00 / $1,390.00	Professional		$860.76	$1,289.00	$1,390.00
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 $951.71 / $1,291.58 / $2,674.86	Professional		$951.71	$1,291.58	$2,674.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.09 / $1,674.91 / $2,144.16	Professional		$1,273.09	$1,674.91	$2,144.16
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.48 / $1,219.77 / $2,448.15	Professional		$788.48	$1,219.77	$2,448.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,493.14 / $1,791.95	Professional		$850.78	$1,493.14	$1,791.95