Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.16 / $863.70 / $1,669.10	Professional		$309.16	$863.70	$1,669.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.94 / $313.94 / $363.95	Professional		$313.94	$313.94	$363.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,545.46 / $4,545.46 / $4,545.46	Facility		$4,545.46	$4,545.46	$4,545.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $926.82 / $2,603.91	Professional		$322.24	$926.82	$2,603.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.95 / $1,158.52 / $2,086.19	Professional		$888.95	$1,158.52	$2,086.19
United Facility/Professional Professional Modifier Low / Median / High Price $893.38 / $1,361.40 / $2,366.40	Professional		$893.38	$1,361.40	$2,366.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $888.95 / $1,022.29 / $1,264.79	Professional		$888.95	$1,022.29	$1,264.79