Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $1,030.90 / $1,283.70	Professional		$712.20	$1,030.90	$1,283.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,255.92 / $4,255.92 / $4,255.92	Professional		$4,255.92	$4,255.92	$4,255.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $796.08	Professional		$796.08	$796.08	$796.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.24 / $1,430.31 / $1,872.41	Professional		$1,105.24	$1,430.31	$1,872.41
United Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $126.05 / $780.17	Professional		$79.95	$126.05	$780.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.35 / $639.80 / $1,031.53	Professional		$234.35	$639.80	$1,031.53