Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,041.74 / $7,079.46	Facility		$501.19	$2,041.74	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $2,884.03 / $10,232.93	Professional		$489.78	$2,884.03	$10,232.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $3,311.31	Facility		$512.86	$645.65	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,659.59 / $11,748.98	Professional		$524.81	$1,659.59	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,079.46 / $12,589.25	Professional		$5,754.40	$7,079.46	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $3,548.13	Facility		$478.63	$1,000.00	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $4,365.16 / $12,022.64	Professional		$478.63	$4,365.16	$12,022.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $9,772.37	Professional		$5,623.41	$7,079.46	$9,772.37