Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.77 / $1,855.67 / $5,189.99	Facility		$389.77	$1,855.67	$5,189.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $490.10 / $1,264.70	Professional		$410.52	$490.10	$1,264.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $462.29 / $591.73	Professional		$451.97	$462.29	$591.73
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 $448.57 / $653.54 / $1,204.66	Professional		$448.57	$653.54	$1,204.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.51 / $644.20 / $962.92	Professional		$495.51	$644.20	$962.92
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $530.97 / $1,013.09	Professional		$379.73	$530.97	$1,013.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $473.90 / $574.29 / $702.15	Professional		$473.90	$574.29	$702.15