Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.78 / $1,018.08 / $4,813.22	Professional		$906.78	$1,018.08	$4,813.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $995.58 / $1,021.84 / $1,310.00	Professional		$995.58	$1,021.84	$1,310.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.15 / $1,222.65 / $2,390.63	Professional		$847.15	$1,222.65	$2,390.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.32 / $1,263.93 / $2,120.94	Professional		$950.32	$1,263.93	$2,120.94
United Facility/Professional Professional Modifier Low / Median / High Price $808.97 / $1,112.94 / $1,962.81	Professional		$808.97	$1,112.94	$1,962.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.96 / $1,092.86 / $1,350.56	Professional		$808.96	$1,092.86	$1,350.56