Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.68 / $1,114.84 / $2,036.43	Professional		$935.68	$1,114.84	$2,036.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,219.00 / $1,219.00 / $1,554.18	Professional		$1,219.00	$1,219.00	$1,554.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,599.98	Professional		$1,167.99	$1,167.99	$1,599.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.49 / $2,273.55 / $3,273.91	Professional		$1,591.49	$2,273.55	$3,273.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.39 / $1,156.94 / $1,798.62	Professional		$1,063.39	$1,156.94	$1,798.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,314.53 / $1,314.53 / $1,591.49	Professional		$1,314.53	$1,314.53	$1,591.49