Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $1,135.02 / $2,331.59	Professional		$363.76	$1,135.02	$2,331.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.44 / $357.05 / $418.22	Professional		$314.44	$357.05	$418.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,173.57 / $3,173.57 / $3,173.57	Facility		$3,173.57	$3,173.57	$3,173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.41 / $833.49 / $2,132.98	Professional		$320.41	$833.49	$2,132.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.82 / $1,489.20 / $2,706.87	Professional		$865.82	$1,489.20	$2,706.87
United Facility/Professional Professional Modifier Low / Median / High Price $863.26 / $1,194.19 / $2,092.94	Professional		$863.26	$1,194.19	$2,092.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $738.91 / $738.91 / $1,628.12	Professional		$738.91	$738.91	$1,628.12