Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,380.38	Professional		$389.05	$562.34	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $602.56	Professional		$426.58	$478.63	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,230.27	Professional		$416.87	$616.60	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,071.52	Professional		$616.60	$707.95	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $741.31	Facility		$398.11	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,071.52	Professional		$371.54	$562.34	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $933.25	Professional		$512.86	$707.95	$933.25