Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,787.56 / $4,787.56 / $4,787.56	Facility		$4,787.56	$4,787.56	$4,787.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.32 / $493.13 / $703.16	Professional		$348.32	$493.13	$703.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $386.65 / $599.30	Professional		$386.22	$386.65	$599.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.00 / $1,441.78 / $1,870.84	Facility		$395.00	$1,441.78	$1,870.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.54 / $536.42 / $991.99	Professional		$351.54	$536.42	$991.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.70 / $655.70 / $971.41	Professional		$485.70	$655.70	$971.41
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $568.38 / $1,022.00	Professional		$420.66	$568.38	$1,022.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $649.88 / $802.07	Professional		$275.33	$649.88	$802.07