Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.84 / $1,267.49 / $1,780.48	Professional		$856.84	$1,267.49	$1,780.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,846.80 / $2,102.30 / $2,102.30	Professional		$1,846.80	$2,102.30	$2,102.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $211.75	Facility		$144.19	$144.19	$211.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $122.56 / $190.23	Professional		$122.56	$122.56	$190.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,977.56 / $2,378.71 / $3,100.73	Professional		$1,977.56	$2,378.71	$3,100.73
United Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $1,019.76 / $1,687.87	Professional		$786.29	$1,019.76	$1,687.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,120.40 / $1,256.74 / $2,110.21	Professional		$1,120.40	$1,256.74	$2,110.21