Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Professional		$1,000.00	$1,000.00	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,884.03	Professional		$1,348.96	$1,905.46	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,445.44	Facility		$851.14	$1,412.54	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,479.11	Professional		$851.14	$954.99	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,584.89	Professional		$1,122.02	$1,122.02	$1,584.89