Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.86 / $1,221.41 / $2,041.27	Professional		$999.86	$1,221.41	$2,041.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,229.00 / $1,229.00 / $1,566.46	Professional		$1,229.00	$1,229.00	$1,566.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,665.63	Professional		$1,215.91	$1,215.91	$1,665.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,604.06 / $2,291.51 / $3,299.77	Professional		$1,604.06	$2,291.51	$3,299.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.21 / $1,291.55 / $1,812.81	Professional		$1,032.21	$1,291.55	$1,812.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,384.72 / $1,384.72 / $1,604.06	Professional		$1,384.72	$1,384.72	$1,604.06