Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.35 / $2,061.59 / $2,793.58	Professional		$226.35	$2,061.59	$2,793.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.96 / $254.96 / $291.41	Professional		$254.96	$254.96	$291.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.94 / $1,692.59 / $4,393.92	Professional		$238.94	$1,692.59	$4,393.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,364.96 / $3,121.74 / $5,680.58	Professional		$2,364.96	$3,121.74	$5,680.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,579.80 / $2,296.35 / $4,173.14	Professional		$1,579.80	$2,296.35	$4,173.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.01 / $2,719.72 / $3,346.88	Professional		$1,263.01	$2,719.72	$3,346.88