Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.43 / $1,475.39 / $1,994.82	Professional		$314.43	$1,475.39	$1,994.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $298.91 / $347.95	Professional		$287.56	$298.91	$347.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.95 / $2,810.95 / $2,810.95	Facility		$2,810.95	$2,810.95	$2,810.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $697.22 / $3,120.35	Professional		$279.68	$697.22	$3,120.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.45 / $1,846.33 / $3,380.42	Professional		$1,073.45	$1,846.33	$3,380.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.34 / $2,051.13 / $3,661.52	Professional		$1,502.34	$2,051.13	$3,661.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,431.26 / $1,431.26 / $2,024.45	Professional		$1,431.26	$1,431.26	$2,024.45