Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,778.28	Professional		$851.14	$1,288.25	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,089.30	Professional		$1,862.09	$1,862.09	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $2,137.96	Facility		$144.54	$144.54	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $213.80	Professional		$123.03	$123.03	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,467.37	Professional		$2,041.74	$2,630.27	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $616.60 / $1,071.52	Facility		$81.28	$616.60	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,778.28	Professional		$812.83	$1,023.29	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Professional		$1,258.93	$1,258.93	$2,089.30