Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,995.26	Professional		$954.99	$1,230.27	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,621.81	Professional		$1,230.27	$1,230.27	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,548.13	Professional		$1,659.59	$2,344.23	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,737.80	Facility		$776.25	$1,122.02	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,819.70	Professional		$1,047.13	$1,148.15	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,949.84	Professional		$1,380.38	$1,380.38	$1,949.84