Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,047.13 / $6,025.60	Facility		$398.11	$1,047.13	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,570.40	Professional		$724.44	$1,023.29	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,023.29	Professional		$794.33	$891.25	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,737.80	Professional		$758.58	$1,000.00	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,187.76	Professional		$954.99	$1,174.90	$2,187.76
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 $707.95 / $977.24 / $1,778.28	Professional		$707.95	$977.24	$1,778.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,621.81	Professional		$812.83	$1,071.52	$1,621.81