Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,100.01 / $6,100.01 / $6,100.01	Facility		$6,100.01	$6,100.01	$6,100.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.91 / $1,100.63 / $1,204.66	Professional		$900.91	$1,100.63	$1,204.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,050.64 / $1,167.36 / $1,461.87	Professional		$1,050.64	$1,167.36	$1,461.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.24 / $1,307.93 / $2,402.98	Professional		$739.24	$1,307.93	$2,402.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.06 / $1,455.07 / $1,894.83	Professional		$1,125.06	$1,455.07	$1,894.83
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $1,055.98 / $2,048.26	Professional		$514.04	$1,055.98	$2,048.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.63 / $1,297.15 / $1,592.69	Professional		$864.63	$1,297.15	$1,592.69