Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Facility		$40.53	$40.53	$40.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,316.70 / $3,254.64	Professional		$1,099.22	$1,316.70	$3,254.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,310.00 / $1,472.65 / $1,619.92	Professional		$1,310.00	$1,472.65	$1,619.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,698.73 / $2,917.68	Professional		$1,195.21	$1,698.73	$2,917.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.45 / $1,739.85 / $2,260.96	Professional		$1,342.45	$1,739.85	$2,260.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.46 / $1,502.84 / $2,667.31	Professional		$1,045.46	$1,502.84	$2,667.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,214.42 / $1,551.03 / $1,904.42	Professional		$1,214.42	$1,551.03	$1,904.42