Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.13 / $896.07 / $1,708.38	Professional		$797.13	$896.07	$1,708.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,022.40 / $1,247.14	Professional		$978.00	$1,022.40	$1,247.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,573.58	Professional		$1,148.71	$1,148.71	$1,573.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.07 / $1,824.39 / $2,627.12	Professional		$1,277.07	$1,824.39	$2,627.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $821.80 / $975.21 / $1,443.27	Professional		$821.80	$975.21	$1,443.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $1,103.96 / $1,277.07	Professional		$1,103.96	$1,103.96	$1,277.07