Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.66 / $1,270.03 / $1,355.41	Professional		$854.66	$1,270.03	$1,355.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $926.69 / $1,061.02 / $1,811.29	Professional		$926.69	$1,061.02	$1,811.29
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 $811.32 / $1,071.72 / $1,862.07	Professional		$811.32	$1,071.72	$1,862.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.05 / $1,237.46 / $1,614.08	Professional		$1,076.05	$1,237.46	$1,614.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.00 / $921.31 / $1,761.99	Professional		$729.00	$921.31	$1,761.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.71 / $1,129.27 / $1,237.46	Professional		$762.71	$1,129.27	$1,237.46