Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,819.70	Professional		$870.96	$1,047.13	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Professional		$1,023.29	$1,023.29	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,122.02	Professional		$831.76	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,951.21	Professional		$1,380.38	$1,949.84	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,380.38	Facility		$1,047.13	$1,348.96	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,513.56	Professional		$870.96	$1,000.00	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Professional		$1,096.48	$1,096.48	$1,621.81