Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.35 / $1,177.66 / $4,616.31	Professional		$869.35	$1,177.66	$4,616.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.55 / $944.28 / $1,079.31	Professional		$745.55	$944.28	$1,079.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.46 / $1,357.50 / $2,722.91	Professional		$886.46	$1,357.50	$2,722.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.33 / $1,619.39 / $2,778.26	Professional		$1,255.33	$1,619.39	$2,778.26
United Facility/Professional Professional Modifier Low / Median / High Price $834.79 / $1,270.32 / $2,261.19	Professional		$834.79	$1,270.32	$2,261.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.89 / $1,443.64 / $1,776.68	Professional		$691.89	$1,443.64	$1,776.68