Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $8,128.31	Facility		$2,630.27	$4,786.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $741.31 / $3,548.13	Professional		$165.96	$741.31	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $257.04	Professional		$194.98	$213.80	$257.04
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 $181.97 / $707.95 / $1,659.59	Professional		$181.97	$707.95	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,659.59	Professional		$660.69	$891.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $537.03 / $1,584.89	Professional		$169.82	$537.03	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,202.26	Professional		$758.58	$1,000.00	$1,202.26