Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,885.04 / $2,885.04 / $3,052.87	Facility		$2,885.04	$2,885.04	$3,052.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $152.16 / $295.08	Professional		$59.65	$152.16	$295.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $63.17 / $170.29	Professional		$63.17	$63.17	$170.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $620.64	Facility		$445.00	$453.73	$620.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $195.89 / $446.47	Professional		$62.26	$195.89	$446.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.84 / $207.48 / $504.68	Professional		$160.84	$207.48	$504.68
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $296.30 / $517.78	Professional		$211.13	$296.30	$517.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.84 / $184.97 / $227.72	Professional		$160.84	$184.97	$227.72