Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.73 / $1,402.32 / $1,690.76	Professional		$373.73	$1,402.32	$1,690.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $357.25 / $409.29	Professional		$281.35	$357.25	$409.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,570.53 / $5,570.53 / $5,570.53	Facility		$5,570.53	$5,570.53	$5,570.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $855.36 / $2,379.30	Professional		$328.38	$855.36	$2,379.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.24 / $1,477.89 / $2,683.65	Professional		$859.24	$1,477.89	$2,683.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.90 / $1,443.31 / $2,407.44	Professional		$1,029.90	$1,443.31	$2,407.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,005.20 / $1,005.20 / $1,615.71	Professional		$1,005.20	$1,005.20	$1,615.71