Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.22 / $749.67 / $2,021.00	Facility		$626.22	$749.67	$2,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.98 / $547.21 / $1,342.62	Professional		$500.98	$547.21	$1,342.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $545.41 / $623.40	Professional		$445.00	$545.41	$623.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.67 / $747.49 / $1,369.65	Professional		$475.67	$747.49	$1,369.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.63 / $740.32 / $1,186.17	Professional		$556.63	$740.32	$1,186.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,658.56 / $7,658.56 / $7,658.56	Facility		$7,658.56	$7,658.56	$7,658.56
United Facility/Professional Professional Modifier Low / Median / High Price $417.37 / $613.70 / $1,056.45	Professional		$417.37	$613.70	$1,056.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.90 / $640.12 / $781.64	Professional		$407.90	$640.12	$781.64