Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.70 / $430.94 / $1,813.12	Professional		$349.70	$430.94	$1,813.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $376.39 / $465.57	Professional		$372.66	$376.39	$465.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,040.18 / $5,040.18 / $5,040.18	Facility		$5,040.18	$5,040.18	$5,040.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $507.45 / $1,097.11	Professional		$351.10	$507.45	$1,097.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.42 / $580.44 / $935.76	Professional		$436.42	$580.44	$935.76
United Facility/Professional Professional Modifier Low / Median / High Price $373.38 / $552.32 / $843.61	Professional		$373.38	$552.32	$843.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.45 / $501.88 / $623.12	Professional		$334.45	$501.88	$623.12