Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $1,176.51 / $1,253.06	Professional		$833.23	$1,176.51	$1,253.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,052.32 / $1,160.00	Professional		$1,040.00	$1,052.32	$1,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $449.41 / $1,205.38	Facility		$424.00	$449.41	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.94 / $1,064.65 / $1,743.87	Professional		$770.94	$1,064.65	$1,743.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.89 / $1,153.32 / $1,504.34	Professional		$1,002.89	$1,153.32	$1,504.34
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 $717.27 / $924.54 / $1,941.31	Professional		$717.27	$924.54	$1,941.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.23 / $1,053.07 / $1,153.32	Professional		$777.23	$1,053.07	$1,153.32