Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $1,453.26 / $2,354.15	Professional		$386.50	$1,453.26	$2,354.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $434.46 / $491.49 / $561.77	Professional		$434.46	$491.49	$561.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,974.58 / $2,974.58 / $2,974.58	Facility		$2,974.58	$2,974.58	$2,974.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.56 / $1,505.47 / $3,997.89	Professional		$460.56	$1,505.47	$3,997.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,641.65 / $2,145.92 / $3,942.36	Professional		$1,641.65	$2,145.92	$3,942.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,662.73 / $2,450.07 / $4,406.47	Professional		$1,662.73	$2,450.07	$4,406.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,641.65 / $1,887.90 / $2,323.42	Professional		$1,641.65	$1,887.90	$2,323.42