Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $389.05	Professional		$120.23	$165.96	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $186.21	Professional		$131.83	$144.54	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $794.33	Facility		$331.13	$338.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $371.54	Professional		$131.83	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $323.59	Professional		$186.21	$208.93	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $467.74	Facility		$125.89	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $323.59	Professional		$120.23	$177.83	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $281.84	Professional		$162.18	$213.80	$281.84