Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.14 / $1,091.46 / $1,746.78	Professional		$899.14	$1,091.46	$1,746.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,171.00 / $1,224.35 / $1,493.50	Professional		$1,171.00	$1,224.35	$1,493.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,295.39	Professional		$945.63	$945.63	$1,295.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,529.35 / $2,184.78 / $3,146.08	Professional		$1,529.35	$2,184.78	$3,146.08
United Facility/Professional Professional Modifier Low / Median / High Price $984.13 / $1,144.46 / $1,728.38	Professional		$984.13	$1,144.46	$1,728.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,254.45 / $1,254.45 / $1,529.35	Professional		$1,254.45	$1,254.45	$1,529.35