Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $398.11	Professional		$154.88	$338.84	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,570.40	Professional		$1,584.89	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $489.78 / $1,023.29	Facility		$67.61	$489.78	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,513.56	Professional		$645.65	$1,071.52	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,513.56	Professional		$1,258.93	$1,258.93	$1,513.56