Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,490.62 / $1,901.79	Professional		$111.92	$1,490.62	$1,901.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $123.77 / $153.06	Professional		$123.77	$123.77	$153.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.56 / $1,034.56 / $1,034.56	Facility		$1,034.56	$1,034.56	$1,034.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $299.12 / $2,775.08	Professional		$117.29	$299.12	$2,775.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.09 / $1,644.47 / $3,060.41	Professional		$956.09	$1,644.47	$3,060.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,355.94 / $1,816.67 / $2,869.84	Professional		$1,355.94	$1,816.67	$2,869.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,274.78 / $1,274.78 / $1,801.77	Professional		$1,274.78	$1,274.78	$1,801.77