Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,465.00 / $5,465.00 / $7,026.12	Facility		$5,465.00	$5,465.00	$7,026.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.01 / $897.36 / $1,003.13	Professional		$805.01	$897.36	$1,003.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $973.12 / $1,070.43	Professional		$935.00	$973.12	$1,070.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $3,314.62	Facility		$445.00	$453.73	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.39 / $1,194.63 / $2,043.22	Professional		$845.39	$1,194.63	$2,043.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.60 / $1,221.40 / $1,590.91	Professional		$944.60	$1,221.40	$1,590.91
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 $701.58 / $1,064.28 / $2,050.78	Professional		$701.58	$1,064.28	$2,050.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $859.95 / $1,088.83 / $1,336.91	Professional		$859.95	$1,088.83	$1,336.91