Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $5,128.61	Professional		$933.25	$1,148.15	$5,128.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,479.11	Professional		$1,047.13	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,344.23	Professional		$977.24	$1,348.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,905.46	Professional		$1,023.29	$1,148.15	$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 $851.14 / $1,230.27 / $2,187.76	Professional		$851.14	$1,230.27	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,584.89	Professional		$1,023.29	$1,230.27	$1,584.89