Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,047.13 / $2,187.76	Professional		$281.84	$1,047.13	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $346.74	Professional		$269.15	$302.00	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $457.09	Facility		$295.12	$295.12	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $794.33 / $1,995.26	Professional		$275.42	$794.33	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,258.93 / $1,737.80	Professional		$457.09	$1,258.93	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $1,862.09	Facility		$128.82	$234.42	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $758.58 / $1,995.26	Professional		$257.04	$758.58	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,258.93 / $1,737.80	Professional		$263.03	$1,258.93	$1,737.80