Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $1,004.51 / $1,794.44	Professional		$793.42	$1,004.51	$1,794.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,063.29 / $1,067.36 / $1,302.00	Professional		$1,063.29	$1,067.36	$1,302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.25 / $1,904.64 / $2,742.68	Professional		$1,333.25	$1,904.64	$2,742.68
United Facility/Professional Professional Modifier Low / Median / High Price $857.95 / $969.21 / $1,506.77	Professional		$857.95	$969.21	$1,506.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,152.52 / $1,152.52 / $1,333.25	Professional		$1,152.52	$1,152.52	$1,333.25