Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.20 / $1,094.63 / $1,489.91	Professional		$828.20	$1,094.63	$1,489.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,204.26 / $1,338.07 / $2,207.82	Professional		$1,204.26	$1,338.07	$2,207.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.41 / $1,195.58 / $2,136.56	Professional		$908.41	$1,195.58	$2,136.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.09 / $1,291.25 / $1,837.49	Professional		$997.09	$1,291.25	$1,837.49
United Facility/Professional Professional Modifier Low / Median / High Price $767.98 / $1,007.98 / $1,926.81	Professional		$767.98	$1,007.98	$1,926.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $728.23 / $1,244.89 / $1,596.86	Professional		$728.23	$1,244.89	$1,596.86