Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,258.93 / $4,677.35	Facility		$371.54	$1,258.93	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $1,548.82	Professional		$354.81	$630.96	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $501.19	Professional		$338.84	$371.54	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $1,000.00	Professional		$338.84	$467.74	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $645.65	Professional		$323.59	$371.54	$645.65
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 $316.23 / $436.52 / $707.95	Professional		$316.23	$436.52	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $489.78	Professional		$281.84	$416.87	$489.78