Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.65 / $1,992.62 / $2,919.97	Professional		$422.65	$1,992.62	$2,919.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $447.93 / $448.15 / $1,059.83	Professional		$447.93	$448.15	$1,059.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $2,959.10	Facility		$485.00	$513.90	$2,959.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.23 / $1,603.09 / $3,336.67	Professional		$401.23	$1,603.09	$3,336.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.18 / $2,429.73 / $3,169.23	Professional		$2,007.18	$2,429.73	$3,169.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $2,118.00 / $2,118.00	Facility		$2,118.00	$2,118.00	$2,118.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,776.57 / $2,351.66 / $4,248.27	Professional		$1,776.57	$2,351.66	$4,248.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $2,196.16 / $2,429.73	Professional		$335.40	$2,196.16	$2,429.73