Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.74 / $1,077.03 / $2,658.07	Professional		$965.74	$1,077.03	$2,658.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,143.65 / $1,418.13	Professional		$1,125.00	$1,143.65	$1,418.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $4,332.09	Facility		$445.00	$453.73	$4,332.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.93 / $1,358.38 / $2,301.80	Professional		$957.93	$1,358.38	$2,301.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.25 / $1,424.52 / $1,849.68	Professional		$1,098.25	$1,424.52	$1,849.68
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.41 / $1,094.72 / $2,012.63	Professional		$816.41	$1,094.72	$2,012.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $991.82 / $1,269.92 / $1,559.37	Professional		$991.82	$1,269.92	$1,559.37