Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.27 / $1,035.58 / $1,688.52	Professional		$906.27	$1,035.58	$1,688.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,178.99 / $1,178.99 / $1,443.69	Professional		$1,178.99	$1,178.99	$1,443.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,207.83	Professional		$881.72	$881.72	$1,207.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.34 / $2,111.91 / $3,041.15	Professional		$1,478.34	$2,111.91	$3,041.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $951.31 / $1,106.29 / $1,670.74	Professional		$951.31	$1,106.29	$1,670.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,169.66 / $1,169.66 / $1,478.34	Professional		$1,169.66	$1,169.66	$1,478.34