Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,715.35 / $6,025.60	Facility		$870.96	$3,715.35	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,398.83	Professional		$616.60	$912.01	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $870.96	Professional		$676.08	$741.31	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,778.28	Professional		$851.14	$1,047.13	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,548.82	Professional		$630.96	$851.14	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Professional		$691.83	$933.25	$1,445.44