Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.20 / $2,755.78 / $4,929.68	Facility		$329.20	$2,755.78	$4,929.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.88 / $1,250.00 / $3,770.17	Professional		$318.88	$1,250.00	$3,770.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $301.72 / $340.46 / $500.26	Professional		$301.72	$340.46	$500.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $992.75 / $3,019.45	Professional		$277.12	$992.75	$3,019.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $799.25 / $1,374.70 / $2,507.29	Professional		$799.25	$1,374.70	$2,507.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $1,923.87 / $3,129.64	Professional		$1,263.55	$1,923.87	$3,129.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,065.66 / $1,065.66 / $1,505.03	Professional		$1,065.66	$1,065.66	$1,505.03