Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.90 / $1,105.82 / $1,924.13	Professional		$968.90	$1,105.82	$1,924.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,175.29 / $1,175.29 / $1,350.00	Professional		$1,175.29	$1,175.29	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $3,697.13	Facility		$445.00	$453.73	$3,697.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.56 / $1,436.68 / $2,367.08	Professional		$982.56	$1,436.68	$2,367.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.32 / $1,463.96 / $1,900.34	Professional		$1,128.32	$1,463.96	$1,900.34
United Facility/Professional Facility Modifier Low / Median / High Price $774.00 / $1,025.83 / $12,808.14	Facility		$774.00	$1,025.83	$12,808.14
United Facility/Professional Professional Modifier Low / Median / High Price $845.58 / $1,218.19 / $2,264.08	Professional		$845.58	$1,218.19	$2,264.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,021.80 / $1,305.08 / $1,602.42	Professional		$1,021.80	$1,305.08	$1,602.42