Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $3,630.78	Facility		$630.96	$2,818.38	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,862.09	Professional		$346.74	$549.54	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $501.19	Professional		$354.81	$389.05	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $794.33	Facility		$512.86	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,122.02	Professional		$354.81	$549.54	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,000.00	Professional		$575.44	$660.69	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $741.31	Facility		$354.81	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $954.99	Professional		$316.23	$501.19	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $851.14	Professional		$436.52	$676.08	$851.14