Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.52 / $1,192.65 / $1,567.37	Professional		$307.52	$1,192.65	$1,567.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.01 / $305.39 / $354.54	Professional		$293.01	$305.39	$354.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.92 / $720.81 / $2,229.73	Professional		$301.92	$720.81	$2,229.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.36 / $1,749.86 / $2,662.13	Professional		$1,017.36	$1,749.86	$2,662.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.53 / $1,425.52 / $2,164.96	Professional		$1,020.53	$1,425.52	$2,164.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $875.27 / $875.27 / $1,914.30	Professional		$875.27	$875.27	$1,914.30