Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $1,670.82 / $2,435.64	Professional		$174.93	$1,670.82	$2,435.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $174.24 / $219.35	Professional		$174.24	$174.24	$219.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.80 / $1,470.80 / $1,470.80	Facility		$1,470.80	$1,470.80	$1,470.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $456.28 / $3,500.64	Professional		$175.10	$456.28	$3,500.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.83 / $2,127.35 / $3,940.73	Professional		$1,236.83	$2,127.35	$3,940.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.20 / $2,412.09 / $3,933.68	Professional		$1,705.20	$2,412.09	$3,933.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,649.11 / $1,649.11 / $2,331.02	Professional		$1,649.11	$1,649.11	$2,331.02