Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,737.80	Professional		$851.14	$1,047.13	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,348.96	Professional		$1,047.13	$1,047.13	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,951.21	Professional		$1,380.38	$1,995.26	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,445.44	Facility		$851.14	$1,412.54	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,548.82	Professional		$870.96	$1,000.00	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Professional		$1,148.15	$1,148.15	$1,659.59