Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,454.71 / $2,454.71	Facility		$512.86	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,148.15 / $2,570.40	Professional		$275.42	$1,148.15	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $302.00	Professional		$239.88	$263.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $933.25 / $2,398.83	Professional		$281.84	$933.25	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,995.26	Professional		$933.25	$1,445.44	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,380.38 / $2,344.23	Facility		$213.80	$1,380.38	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,122.02 / $2,454.71	Professional		$257.04	$1,122.02	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,412.54 / $2,041.74	Professional		$239.88	$1,412.54	$2,041.74