Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.61 / $1,105.63 / $1,907.74	Professional		$942.61	$1,105.63	$1,907.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,574.37	Professional		$1,235.00	$1,235.00	$1,574.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.99 / $1,703.99 / $1,703.99	Facility		$1,703.99	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,703.99	Professional		$1,243.91	$1,243.91	$1,703.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.16 / $2,303.08 / $3,316.44	Professional		$1,612.16	$2,303.08	$3,316.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.99 / $1,148.98 / $1,831.46	Professional		$1,026.99	$1,148.98	$1,831.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,364.53 / $1,364.53 / $1,612.16	Professional		$1,364.53	$1,364.53	$1,612.16