Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,548.13 / $8,511.38	Facility		$416.87	$3,548.13	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $2,041.74	Professional		$398.11	$575.44	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $954.99	Professional		$371.54	$416.87	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,096.48	Professional		$380.19	$537.03	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $741.31	Professional		$363.08	$416.87	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $794.33	Professional		$363.08	$537.03	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $537.03	Professional		$371.54	$467.74	$537.03