Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $1,184.98 / $1,261.95	Professional		$814.70	$1,184.98	$1,261.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,023.28 / $1,074.44	Professional		$840.00	$1,023.28	$1,074.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $722.49 / $1,205.38	Facility		$682.00	$722.49	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $1,056.33 / $1,751.63	Professional		$771.98	$1,056.33	$1,751.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,005.18 / $1,155.96 / $1,507.77	Professional		$1,005.18	$1,155.96	$1,507.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.65 / $894.66 / $1,711.99	Professional		$702.65	$894.66	$1,711.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $757.66 / $1,055.57 / $1,155.96	Professional		$757.66	$1,055.57	$1,155.96