Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,511.89	Professional		$954.99	$1,348.96	$2,511.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Professional		$1,258.93	$1,258.93	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,630.78	Professional		$1,698.24	$2,398.83	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,778.28	Facility		$794.33	$1,174.90	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,862.09	Professional		$1,071.52	$1,174.90	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,995.26	Professional		$1,412.54	$1,412.54	$1,995.26