Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,691.53	Professional		$933.25	$1,122.02	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $2,630.27	Professional		$1,000.00	$1,122.02	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $3,715.35	Facility		$630.96	$645.65	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,344.23	Professional		$1,023.29	$1,348.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,905.46	Professional		$1,000.00	$1,096.48	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,884.03	Facility		$776.25	$1,023.29	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,187.76	Professional		$891.25	$1,258.93	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,513.56	Professional		$1,047.13	$1,202.26	$1,513.56