Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,995.26 / $3,019.95	Professional		$457.09	$1,995.26	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $549.54	Professional		$436.52	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $512.86 / $2,951.21	Facility		$489.78	$512.86	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,548.82 / $3,715.35	Professional		$398.11	$1,548.82	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,715.35	Professional		$1,905.46	$2,454.71	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,884.03	Facility		$2,137.96	$2,137.96	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,584.89 / $3,235.94	Professional		$380.19	$1,584.89	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $2,344.23 / $3,548.13	Professional		$338.84	$2,344.23	$3,548.13