Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.72 / $1,030.22 / $1,102.28	Professional		$694.72	$1,030.22	$1,102.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.70 / $351.90 / $478.58	Professional		$316.70	$351.90	$478.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.64 / $711.17 / $1,400.22	Facility		$506.64	$711.17	$1,400.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.94 / $930.22 / $2,610.94	Professional		$544.94	$930.22	$2,610.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $1,568.06 / $1,823.33	Professional		$1,215.55	$1,568.06	$1,823.33
United Facility/Professional Professional Modifier Low / Median / High Price $472.87 / $675.52 / $1,240.99	Professional		$472.87	$675.52	$1,240.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00