Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,456.54 / $6,456.54	Facility		$1,202.26	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,288.25 / $2,754.23	Professional		$354.81	$1,288.25	$2,754.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $457.09	Professional		$338.84	$380.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,000.00 / $3,311.31	Professional		$354.81	$1,000.00	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,981.07	Professional		$1,621.81	$2,137.96	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,348.96 / $3,090.30	Professional		$338.84	$1,348.96	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,019.95	Professional		$1,548.82	$2,137.96	$3,019.95