Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.50 / $1,591.50 / $6,058.63	Facility		$1,591.50	$1,591.50	$6,058.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $849.41 / $1,868.63	Professional		$697.25	$849.41	$1,868.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $778.79 / $778.79 / $895.61	Professional		$778.79	$778.79	$895.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $841.72 / $1,438.45	Professional		$663.01	$841.72	$1,438.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.98 / $1,092.27 / $1,927.27	Professional		$877.98	$1,092.27	$1,927.27
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 $664.48 / $902.52 / $1,883.83	Professional		$664.48	$902.52	$1,883.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $679.54 / $770.20 / $1,014.66	Professional		$679.54	$770.20	$1,014.66