Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.98 / $1,096.65 / $1,850.31	Professional		$838.98	$1,096.65	$1,850.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,535.27 / $1,535.27 / $1,535.27	Professional		$1,535.27	$1,535.27	$1,535.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,629.32	Facility		$1,217.05	$1,217.05	$1,629.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $1,217.05	Professional		$1,034.49	$1,034.49	$1,217.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.24 / $1,606.17 / $2,035.37	Professional		$1,249.24	$1,606.17	$2,035.37
United Facility/Professional Professional Modifier Low / Median / High Price $881.81 / $1,118.19 / $1,767.77	Professional		$881.81	$1,118.19	$1,767.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,468.86 / $1,468.86 / $1,516.94	Professional		$1,468.86	$1,468.86	$1,516.94