Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.16 / $2,174.66 / $5,140.76	Facility		$487.16	$2,174.66	$5,140.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $431.00 / $1,759.41	Professional		$358.47	$431.00	$1,759.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $391.71 / $401.31 / $513.67	Professional		$391.71	$401.31	$513.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,134.73 / $1,335.00	Facility		$641.21	$1,134.73	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.90 / $568.60 / $1,038.81	Professional		$389.90	$568.60	$1,038.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $557.76 / $834.19	Professional		$430.70	$557.76	$834.19
United Facility/Professional Facility Modifier Low / Median / High Price $387.22 / $520.00 / $5,724.10	Facility		$387.22	$520.00	$5,724.10
United Facility/Professional Professional Modifier Low / Median / High Price $331.44 / $451.49 / $843.18	Professional		$331.44	$451.49	$843.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.24 / $497.23 / $608.96	Professional		$409.24	$497.23	$608.96