Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.48 / $1,467.39 / $1,564.14	Professional		$976.48	$1,467.39	$1,564.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,180.25 / $1,308.71	Professional		$1,170.00	$1,180.25	$1,308.71
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 $934.62 / $1,238.13 / $2,151.44	Professional		$934.62	$1,238.13	$2,151.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,241.53 / $1,427.76 / $1,862.30	Professional		$1,241.53	$1,427.76	$1,862.30
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 $837.15 / $1,038.35 / $2,057.41	Professional		$837.15	$1,038.35	$2,057.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $876.11 / $1,303.60 / $1,427.76	Professional		$876.11	$1,303.60	$1,427.76