Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $4,168.69	Facility		$691.83	$3,630.78	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,548.82	Professional		$426.58	$562.34	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $724.44	Professional		$446.68	$602.56	$724.44
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,513.56	Professional		$478.63	$707.95	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $977.24	Professional		$549.54	$630.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,023.29	Professional		$407.38	$575.44	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $831.76	Professional		$398.11	$691.83	$831.76