Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,778.28	Professional		$794.33	$1,023.29	$1,778.28
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 $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
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 $954.99 / $1,288.25 / $1,318.26	Facility		$954.99	$1,288.25	$1,318.26
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 $1,047.13 / $1,047.13 / $1,659.59	Professional		$1,047.13	$1,047.13	$1,659.59