Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,323.85 / $4,323.85 / $4,609.68	Facility		$4,323.85	$4,323.85	$4,609.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.19 / $536.96 / $1,359.22	Professional		$498.19	$536.96	$1,359.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.23 / $580.90 / $765.00	Professional		$580.23	$580.90	$765.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.83 / $754.35 / $1,216.48	Professional		$506.83	$754.35	$1,216.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.10 / $715.18 / $1,037.43	Professional		$544.10	$715.18	$1,037.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.62 / $637.65 / $1,158.71	Professional		$470.62	$637.65	$1,158.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $637.55 / $777.29	Professional		$554.40	$637.55	$777.29