Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.37 / $2,187.60 / $4,060.31	Facility		$490.37	$2,187.60	$4,060.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $660.56 / $1,592.75	Professional		$221.71	$660.56	$1,592.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $247.07 / $437.31	Professional		$243.27	$247.07	$437.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,174.34 / $2,032.40	Facility		$582.00	$1,174.34	$2,032.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.02 / $302.02 / $302.02	Facility	52	$302.02	$302.02	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.87 / $541.96 / $1,323.61	Professional		$228.87	$541.96	$1,323.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.90 / $876.92 / $1,362.36	Professional		$597.90	$876.92	$1,362.36
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 $636.84 / $855.28 / $1,596.35	Professional		$636.84	$855.28	$1,596.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $603.42 / $843.35 / $1,040.30	Professional		$603.42	$843.35	$1,040.30