Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,344.23	Professional		$691.83	$954.99	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,047.13	Professional		$741.31	$831.76	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $3,715.35	Facility		$707.95	$724.44	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,137.96	Professional		$724.44	$1,047.13	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,995.26	Professional		$1,174.90	$1,318.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,548.82	Facility		$724.44	$851.14	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,862.09	Professional		$645.65	$977.24	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,380.38 / $1,659.59	Professional		$645.65	$1,380.38	$1,659.59