Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,230.27 / $1,905.46	Professional		$338.84	$1,230.27	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $446.68	Professional		$323.59	$354.81	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $891.25 / $2,511.89	Professional		$338.84	$891.25	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,754.23	Professional		$1,096.48	$1,445.44	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,096.48 / $2,754.23	Professional		$338.84	$1,096.48	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,089.30	Professional		$1,288.25	$1,479.11	$2,089.30