Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,621.81	Professional		$977.24	$1,288.25	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,230.27	Professional		$812.83	$1,096.48	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $1,584.89	Facility		$489.78	$512.86	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,995.26	Professional		$812.83	$1,071.52	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,548.82	Professional		$912.01	$1,071.52	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,905.46	Professional		$741.31	$954.99	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,479.11	Professional		$758.58	$1,023.29	$1,479.11