Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Facility		$39.81	$39.81	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $3,388.44	Professional		$1,096.48	$1,348.96	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,737.80	Professional		$1,230.27	$1,348.96	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $7,943.28	Facility		$512.86	$512.86	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,754.23	Professional		$1,122.02	$1,513.56	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $2,187.76	Professional		$1,202.26	$1,318.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,548.13	Facility		$912.01	$1,174.90	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,511.89	Professional		$954.99	$1,380.38	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,819.70	Professional		$1,148.15	$1,412.54	$1,819.70