Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $2,754.23 / $9,332.54	Facility		$45.71	$2,754.23	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $3,388.44	Professional		$575.44	$1,096.48	$3,388.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,202.26	Professional		$645.65	$707.95	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,698.24	Professional		$562.34	$851.14	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,202.26	Professional		$645.65	$741.31	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,288.25	Professional		$524.81	$724.44	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,000.00	Professional		$489.78	$831.76	$1,000.00