Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,973.31 / $5,973.31 / $5,973.31	Facility		$5,973.31	$5,973.31	$5,973.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $612.01 / $2,680.00	Professional		$87.42	$612.01	$2,680.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $108.17 / $146.13	Professional		$104.75	$108.17	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $548.01 / $1,511.36	Professional		$89.97	$548.01	$1,511.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $773.64 / $1,648.08	Professional		$588.12	$773.64	$1,648.08
United Facility/Professional Professional Modifier Low / Median / High Price $674.10 / $961.89 / $1,480.02	Professional		$674.10	$961.89	$1,480.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $676.34 / $833.90	Professional		$588.12	$676.34	$833.90