Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $1,157.56 / $2,133.94	Professional		$949.79	$1,157.56	$2,133.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,223.00 / $1,558.59	Professional		$1,223.00	$1,223.00	$1,558.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,040.02	Professional		$1,040.02	$1,040.02	$1,040.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.00 / $2,280.00 / $3,283.20	Professional		$1,596.00	$2,280.00	$3,283.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.41 / $1,137.47 / $1,803.72	Professional		$1,066.41	$1,137.47	$1,803.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,379.65 / $1,379.65 / $1,596.00	Professional		$1,379.65	$1,379.65	$1,596.00