Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $2,197.30 / $3,018.59	Professional		$206.69	$2,197.30	$3,018.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $242.84 / $277.57	Professional		$242.84	$242.84	$277.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,559.30 / $2,559.30 / $2,559.30	Facility		$2,559.30	$2,559.30	$2,559.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $1,969.23 / $5,237.64	Professional		$208.24	$1,969.23	$5,237.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,280.92 / $3,006.20 / $6,069.79	Professional		$2,280.92	$3,006.20	$6,069.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.01 / $2,940.53 / $5,923.03	Professional		$1,869.01	$2,940.53	$5,923.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.85 / $2,623.06 / $3,221.77	Professional		$158.85	$2,623.06	$3,221.77