Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.30 / $1,048.21 / $1,709.11	Professional		$917.30	$1,048.21	$1,709.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,193.35 / $1,193.35 / $1,461.29	Professional		$1,193.35	$1,193.35	$1,461.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $892.45	Professional		$892.45	$892.45	$892.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.36 / $2,137.66 / $3,078.23	Professional		$1,496.36	$2,137.66	$3,078.23
United Facility/Professional Professional Modifier Low / Median / High Price $962.90 / $1,098.56 / $1,691.12	Professional		$962.90	$1,098.56	$1,691.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $1,183.89 / $1,496.36	Professional		$1,183.89	$1,183.89	$1,496.36