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 $975.26 / $975.26 / $975.26	Facility		$975.26	$975.26	$975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $828.97 / $975.26	Professional		$828.97	$828.97	$975.26
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 $856.63 / $1,176.55 / $1,720.67	Professional		$856.63	$1,176.55	$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