Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,230.27 / $3,467.37	Professional		$223.87	$1,230.27	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Professional		$229.09	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,698.24 / $4,570.88	Professional		$245.47	$1,698.24	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,570.88	Professional		$2,238.72	$2,951.21	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,174.90 / $3,630.78	Professional		$213.80	$1,174.90	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,388.44 / $3,981.07	Professional		$1,258.93	$3,388.44	$3,981.07