Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $3,890.45	Facility		$758.58	$1,819.70	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,348.96	Professional		$269.15	$467.74	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $954.99	Professional		$309.03	$338.84	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,047.13	Professional		$316.23	$524.81	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $891.25	Professional		$467.74	$630.96	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $851.14	Professional		$275.42	$457.09	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $794.33	Professional		$380.19	$707.95	$794.33