Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.71 / $2,459.51 / $3,192.40	Professional		$651.71	$2,459.51	$3,192.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $675.04 / $852.08 / $937.29	Professional		$675.04	$852.08	$937.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $990.00 / $3,490.98	Facility		$641.21	$990.00	$3,490.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.74 / $2,199.11 / $5,896.39	Professional		$680.74	$2,199.11	$5,896.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,625.79 / $3,410.49 / $5,046.89	Professional		$2,625.79	$3,410.49	$5,046.89
United Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $648.66 / $11,831.32	Facility		$475.00	$648.66	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,335.42 / $3,335.42 / $5,648.49	Professional		$2,335.42	$3,335.42	$5,648.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $692.67 / $3,040.36 / $3,751.13	Professional		$692.67	$3,040.36	$3,751.13