Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.39 / $1,275.70 / $1,361.33	Professional		$863.39	$1,275.70	$1,361.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.70 / $1,067.54 / $1,728.96	Professional		$935.70	$1,067.54	$1,728.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,575.38	Facility		$485.00	$513.90	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.12 / $1,064.08 / $1,870.38	Professional		$815.12	$1,064.08	$1,870.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.85 / $1,242.99 / $1,621.29	Professional		$1,080.85	$1,242.99	$1,621.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $7,542.00	Facility		$1,386.00	$1,386.00	$7,542.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.69 / $925.40 / $1,769.86	Professional		$723.69	$925.40	$1,769.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $770.12 / $1,134.31 / $1,242.99	Professional		$770.12	$1,134.31	$1,242.99