Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,897.79 / $6,456.54	Facility		$3,162.28	$4,897.79	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $288.40 / $1,047.13	Professional		$91.20	$288.40	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $141.25	Professional		$89.13	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $933.25	Facility		$158.49	$158.49	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $1,047.13	Professional		$89.13	$213.80	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,148.15	Professional		$457.09	$831.76	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $446.68 / $707.95	Facility		$89.13	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $295.12 / $1,096.48	Professional		$85.11	$295.12	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $870.96 / $1,096.48	Professional		$102.33	$870.96	$1,096.48