Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.95 / $6,411.53 / $12,920.28	Facility		$724.95	$6,411.53	$12,920.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.41 / $899.78 / $2,303.59	Professional		$584.41	$899.78	$2,303.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $710.58 / $710.58 / $906.61	Professional		$710.58	$710.58	$906.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $4,226.62	Facility		$715.00	$728.96	$4,226.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.64 / $1,004.73 / $2,083.81	Professional		$610.64	$1,004.73	$2,083.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.69 / $1,342.49 / $1,791.94	Professional		$1,040.69	$1,342.49	$1,791.94
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.15 / $1,126.58 / $2,163.82	Professional		$735.15	$1,126.58	$2,163.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $832.60 / $1,196.79 / $1,480.80	Professional		$832.60	$1,196.79	$1,480.80