Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.77 / $1,186.22 / $2,034.26	Professional		$971.77	$1,186.22	$2,034.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,307.30 / $1,594.66	Professional		$1,251.00	$1,307.30	$1,594.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,823.10	Professional		$1,330.86	$1,330.86	$1,823.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,632.94 / $2,332.77 / $3,359.19	Professional		$1,632.94	$2,332.77	$3,359.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.08 / $1,185.32 / $1,845.46	Professional		$1,091.08	$1,185.32	$1,845.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,411.58 / $1,411.58 / $1,632.94	Professional		$1,411.58	$1,411.58	$1,632.94