Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.64 / $1,005.78 / $2,134.52	Professional		$878.64	$1,005.78	$2,134.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,149.47 / $1,402.14	Professional		$1,100.00	$1,149.47	$1,402.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,637.27	Facility		$1,637.27	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,637.27	Professional		$1,195.21	$1,195.21	$1,637.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.79 / $2,051.13 / $2,953.63	Professional		$1,435.79	$2,051.13	$2,953.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $923.94 / $1,074.45 / $1,622.66	Professional		$923.94	$1,074.45	$1,622.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,241.18 / $1,241.18 / $1,435.79	Professional		$1,241.18	$1,241.18	$1,435.79