Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $1,047.13	Professional		$229.09	$363.08	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $354.81	Professional		$251.19	$275.42	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Facility		$512.86	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $812.83	Professional		$251.19	$398.11	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $724.44	Professional		$407.38	$467.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $524.81 / $741.31	Facility		$234.42	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $676.08	Professional		$229.09	$371.54	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $616.60	Professional		$346.74	$467.74	$616.60