Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.03 / $1,182.43 / $1,902.00	Professional		$934.03	$1,182.43	$1,902.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,276.00 / $1,626.21	Professional		$1,276.00	$1,276.00	$1,626.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,606.19	Professional		$1,172.52	$1,172.52	$1,606.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.24 / $2,378.91 / $3,425.63	Professional		$1,665.24	$2,378.91	$3,425.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.63 / $1,225.72 / $1,881.96	Professional		$1,041.63	$1,225.72	$1,881.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.41 / $1,263.41 / $1,665.24	Professional		$1,263.41	$1,263.41	$1,665.24