Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $3,019.95	Professional		$977.24	$1,174.90	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,513.56	Professional		$1,071.52	$1,174.90	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $3,715.35	Facility		$446.68	$457.09	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,454.71	Professional		$1,000.00	$1,412.54	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $2,041.74	Professional		$1,096.48	$1,202.26	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,884.03	Facility		$776.25	$1,096.48	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,290.87	Professional		$891.25	$1,288.25	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,659.59	Professional		$1,000.00	$1,288.25	$1,659.59