Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.34 / $1,176.82 / $1,603.92	Professional		$963.34	$1,176.82	$1,603.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,403.43 / $1,403.43 / $1,565.20	Professional		$1,403.43	$1,403.43	$1,565.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,082.51	Facility		$173.31	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $920.13 / $1,082.51	Professional		$173.31	$920.13	$1,082.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,821.44 / $2,125.96 / $2,691.69	Professional		$1,821.44	$2,125.96	$2,691.69
United Facility/Professional Professional Modifier Low / Median / High Price $804.41 / $1,154.96 / $1,720.67	Professional		$804.41	$1,154.96	$1,720.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,457.01 / $1,457.01 / $1,946.25	Professional		$1,457.01	$1,457.01	$1,946.25