Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $4,265.80	Facility		$2,137.96	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $1,445.44	Professional		$251.19	$398.11	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $354.81	Professional		$251.19	$281.84	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $676.08	Facility		$446.68	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $812.83	Professional		$257.04	$398.11	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $707.95	Professional		$407.38	$467.74	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $467.74	Facility		$194.98	$245.47	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $691.83	Professional		$239.88	$371.54	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $616.60	Professional		$323.59	$467.74	$616.60