Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,301.31 / $1,383.84	Professional		$887.87	$1,301.31	$1,383.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,119.73 / $1,175.72	Professional		$1,090.00	$1,119.73	$1,175.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,205.38	Facility		$485.00	$513.90	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.15 / $1,153.96 / $1,923.66	Professional		$849.15	$1,153.96	$1,923.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.79 / $1,269.35 / $1,655.69	Professional		$1,103.79	$1,269.35	$1,655.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $2,118.00 / $2,118.00	Facility		$2,118.00	$2,118.00	$2,118.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.94 / $1,014.28 / $1,887.02	Professional		$767.94	$1,014.28	$1,887.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $830.14 / $1,159.58 / $1,269.35	Professional		$830.14	$1,159.58	$1,269.35