Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $62.79 / $76.31	Facility		$62.79	$62.79	$76.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $3,374.21 / $4,507.25	Professional		$767.57	$3,374.21	$4,507.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,010.44 / $1,293.35	Professional		$879.48	$1,010.44	$1,293.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $1,012.17 / $3,640.21	Facility		$990.00	$1,012.17	$3,640.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.09 / $2,945.05 / $7,866.89	Professional		$806.09	$2,945.05	$7,866.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,130.24 / $5,370.13 / $7,652.95	Professional		$4,130.24	$5,370.13	$7,652.95
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $847.00 / $1,560.00	Facility		$847.00	$847.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,808.39 / $4,726.12 / $8,949.10	Professional		$2,808.39	$4,726.12	$8,949.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $818.06 / $4,787.32 / $5,900.34	Professional		$818.06	$4,787.32	$5,900.34