Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $3,311.31	Professional		$891.25	$1,047.13	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,380.38	Professional		$891.25	$1,122.02	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,122.02	Facility		$512.86	$512.86	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,290.87	Professional		$870.96	$1,258.93	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,819.70	Professional		$977.24	$1,096.48	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $977.24	Facility		$194.98	$436.52	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,089.30	Professional		$776.25	$1,122.02	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,513.56	Professional		$851.14	$1,174.90	$1,513.56