Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.58 / $1,123.50 / $1,254.92	Professional		$864.58	$1,123.50	$1,254.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $1,176.34 / $1,252.69	Professional		$793.65	$1,176.34	$1,252.69
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 $807.60 / $1,187.67 / $2,442.80	Professional		$807.60	$1,187.67	$2,442.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.06 / $1,531.40 / $1,958.83	Professional		$1,163.06	$1,531.40	$1,958.83
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 $695.83 / $1,055.68 / $2,098.06	Professional		$695.83	$1,055.68	$2,098.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $814.34 / $1,365.20 / $1,637.91	Professional		$814.34	$1,365.20	$1,637.91