Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $398.85 / $2,752.38	Professional		$182.80	$398.85	$2,752.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $323.63 / $489.82	Professional		$148.94	$323.63	$489.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $8,582.42	Facility		$330.00	$339.05	$8,582.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.78 / $556.60 / $4,912.35	Professional		$191.78	$556.60	$4,912.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,641.95 / $4,707.18 / $5,854.85	Professional		$3,641.95	$4,707.18	$5,854.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $1,745.40 / $3,630.86	Professional		$179.81	$1,745.40	$3,630.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $4,488.71 / $5,501.43	Professional		$193.50	$4,488.71	$5,501.43