Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,854.27 / $6,650.28 / $11,006.58	Facility		$2,854.27	$6,650.28	$11,006.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,505.52 / $6,763.75	Professional		$1,291.35	$1,505.52	$6,763.75
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $38.04 / $368.15 / $786.90	Professional	AS	$38.04	$368.15	$786.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,575.36 / $1,616.25 / $2,062.23	Professional		$1,575.36	$1,616.25	$2,062.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $13,708.46	Facility		$507.00	$641.21	$13,708.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.24 / $1,957.10 / $3,291.13	Professional		$1,375.24	$1,957.10	$3,291.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,507.16 / $1,955.77 / $2,538.37	Professional		$1,507.16	$1,955.77	$2,538.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $3,677.00 / $4,028.00	Facility		$2,169.00	$3,677.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.08 / $1,635.77 / $3,121.05	Professional		$1,172.08	$1,635.77	$3,121.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,444.66 / $1,743.51 / $2,142.86	Professional		$1,444.66	$1,743.51	$2,142.86