Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,073.80 / $11,220.18	Facility		$794.33	$4,073.80	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $3,235.94	Professional		$741.31	$1,071.52	$3,235.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,548.82	Professional		$707.95	$776.25	$1,548.82
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 $707.95 / $977.24 / $2,089.30	Professional		$707.95	$977.24	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,258.93	Professional		$549.54	$630.96	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,479.11	Professional		$630.96	$912.01	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $831.76	Professional		$630.96	$707.95	$831.76