Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,041.74	Professional		$933.25	$1,174.90	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,584.89	Professional		$1,258.93	$1,258.93	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,288.25	Professional		$954.99	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,467.37	Professional		$1,621.81	$2,344.23	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,548.82	Facility		$707.95	$1,023.29	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,819.70	Professional		$933.25	$1,122.02	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,949.84	Professional		$1,258.93	$1,258.93	$1,949.84