Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,949.84 / $2,691.53	Professional		$512.86	$1,949.84	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,238.72	Professional		$1,778.28	$1,949.84	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,047.13 / $3,162.28	Facility		$933.25	$1,047.13	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $4,265.80	Professional		$1,122.02	$1,621.81	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,715.35	Professional		$2,454.71	$2,818.38	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,862.09	Facility		$602.56	$1,023.29	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,096.48 / $1,548.82	Professional		$251.19	$1,096.48	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $3,715.35	Professional		$954.99	$1,949.84	$3,715.35