Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.81 / $1,005.57 / $4,319.00	Professional		$817.81	$1,005.57	$4,319.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $940.48 / $1,068.33	Professional		$785.00	$940.48	$1,068.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.83 / $1,116.69 / $2,145.60	Professional		$764.83	$1,116.69	$2,145.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,152.39 / $1,874.61	Professional		$866.46	$1,152.39	$1,874.61
United Facility/Professional Professional Modifier Low / Median / High Price $727.52 / $1,020.73 / $1,923.43	Professional		$727.52	$1,020.73	$1,923.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $661.05 / $996.43 / $1,232.16	Professional		$661.05	$996.43	$1,232.16