Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,479.11 / $2,754.23	Professional		$407.38	$1,479.11	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $602.56	Professional		$446.68	$501.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,513.56 / $3,715.35	Professional		$478.63	$1,513.56	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,630.78	Professional		$1,479.11	$1,949.84	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,479.11 / $3,235.94	Professional		$426.58	$1,479.11	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,630.27	Professional		$1,659.59	$2,187.76	$2,630.27