Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.81 / $1,368.81 / $9,072.99	Facility		$1,368.81	$1,368.81	$9,072.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.71 / $343.93 / $423.51	Professional		$252.71	$343.93	$423.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $321.41 / $340.69	Professional		$293.42	$321.41	$340.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.79 / $507.00 / $641.21	Facility		$231.79	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $436.04 / $839.24	Professional		$265.74	$436.04	$839.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.10 / $503.23 / $673.66	Professional		$390.10	$503.23	$673.66
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $402.45 / $759.97	Professional		$265.01	$402.45	$759.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.52 / $448.62 / $555.15	Professional		$361.52	$448.62	$555.15