Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $1,532.57 / $2,455.55	Professional		$75.59	$1,532.57	$2,455.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $114.59	Professional		$73.93	$73.93	$114.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $2,119.89	Facility		$148.97	$148.97	$2,119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $1,437.00 / $3,741.96	Professional		$77.70	$1,437.00	$3,741.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.82 / $2,587.21 / $3,685.57	Professional		$1,340.82	$2,587.21	$3,685.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,236.00 / $1,560.00	Facility		$1,236.00	$1,236.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.68 / $2,542.67 / $4,051.33	Professional		$1,732.68	$2,542.67	$4,051.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $2,569.90 / $3,203.21	Professional		$110.98	$2,569.90	$3,203.21