Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.99 / $1,163.35 / $1,839.31	Professional		$962.99	$1,163.35	$1,839.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,262.00 / $1,262.00 / $1,608.42	Professional		$1,262.00	$1,262.00	$1,608.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $1,549.06	Facility		$1,549.06	$1,549.06	$1,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,549.06	Professional		$1,130.81	$1,130.81	$1,549.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.02 / $2,352.89 / $3,388.16	Professional		$1,647.02	$2,352.89	$3,388.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,059.85 / $1,173.83 / $1,871.07	Professional		$1,059.85	$1,173.83	$1,871.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,409.62 / $1,409.62 / $1,647.02	Professional		$1,409.62	$1,409.62	$1,647.02