Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $831.76 / $4,179.58	Professional		$155.10	$831.76	$4,179.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.40 / $152.16 / $212.26	Professional		$151.40	$152.16	$212.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.67 / $1,494.67 / $1,494.67	Facility		$1,494.67	$1,494.67	$1,494.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $1,338.60 / $4,374.78	Professional		$149.41	$1,338.60	$4,374.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,623.73 / $2,143.91 / $4,164.42	Professional		$1,623.73	$2,143.91	$4,164.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,802.29 / $3,239.45 / $5,469.84	Professional		$1,802.29	$3,239.45	$5,469.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,623.73 / $1,867.29 / $2,296.96	Professional		$1,623.73	$1,867.29	$2,296.96