Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,110.75 / $4,110.75 / $4,110.75	Facility		$4,110.75	$4,110.75	$4,110.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $407.65 / $1,164.88	Professional		$301.50	$407.65	$1,164.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.45 / $384.11 / $441.73	Professional		$380.45	$384.11	$441.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.25 / $450.85 / $779.62	Professional		$329.25	$450.85	$779.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.04 / $595.57 / $1,068.44	Professional		$481.04	$595.57	$1,068.44
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.98 / $458.95 / $863.43	Professional		$352.98	$458.95	$863.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.56 / $385.44 / $556.61	Professional		$366.56	$385.44	$556.61