Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,336.03 / $5,336.03 / $5,336.03	Facility		$5,336.03	$5,336.03	$5,336.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.60 / $762.03 / $1,191.02	Professional		$654.60	$762.03	$1,191.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $804.57 / $885.03	Professional		$780.00	$804.57	$885.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.47 / $979.87 / $1,693.38	Professional		$658.47	$979.87	$1,693.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $785.77 / $1,013.85 / $1,323.41	Professional		$785.77	$1,013.85	$1,323.41
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.50 / $806.65 / $1,537.60	Professional		$568.50	$806.65	$1,537.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.12 / $903.82 / $1,109.78	Professional		$639.12	$903.82	$1,109.78