Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.34 / $1,190.71 / $1,612.07	Professional		$914.34	$1,190.71	$1,612.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $1,199.00 / $1,528.64	Professional		$1,199.00	$1,199.00	$1,528.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,367.82	Professional		$998.51	$998.51	$1,367.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.33 / $2,236.17 / $3,220.10	Professional		$1,565.33	$2,236.17	$3,220.10
United Facility/Professional Facility Modifier Low / Median / High Price $785.65 / $1,529.51 / $1,571.29	Facility		$785.65	$1,529.51	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.30 / $1,153.98 / $1,769.05	Professional		$1,007.30	$1,153.98	$1,769.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,236.77 / $1,236.77 / $1,565.33	Professional		$1,236.77	$1,236.77	$1,565.33