Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,875.78 / $2,875.78 / $2,875.78	Facility		$2,875.78	$2,875.78	$2,875.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $1,828.27 / $2,609.39	Professional		$186.58	$1,828.27	$2,609.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $203.54 / $225.30	Professional		$197.11	$203.54	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $505.18 / $3,830.67	Professional		$188.63	$505.18	$3,830.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.63 / $2,386.71 / $4,440.85	Professional		$1,387.63	$2,386.71	$4,440.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,803.61 / $2,282.32 / $4,048.24	Professional		$1,803.61	$2,282.32	$4,048.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,724.99 / $1,724.99 / $2,617.41	Professional		$1,724.99	$1,724.99	$2,617.41