Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.73 / $1,023.73 / $2,651.10	Professional		$917.73	$1,023.73	$2,651.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,062.14 / $1,180.16 / $1,250.97	Professional		$1,062.14	$1,180.16	$1,250.97
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 $920.59 / $1,311.77 / $2,183.80	Professional		$920.59	$1,311.77	$2,183.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,325.93 / $1,732.86	Professional		$1,027.84	$1,325.93	$1,732.86
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 $809.96 / $1,162.76 / $2,007.63	Professional		$809.96	$1,162.76	$2,007.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $989.22 / $1,182.03 / $1,462.65	Professional		$989.22	$1,182.03	$1,462.65