Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,120.02 / $3,120.02 / $3,120.02	Facility		$3,120.02	$3,120.02	$3,120.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $218.00 / $585.52	Professional		$127.50	$218.00	$585.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $134.99 / $153.00	Professional		$109.33	$134.99	$153.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $217.23 / $464.09	Professional		$127.72	$217.23	$464.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $278.85 / $471.45	Professional		$209.66	$278.85	$471.45
United Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $224.69 / $402.49	Professional		$163.69	$224.69	$402.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $241.11 / $298.42	Professional		$158.63	$241.11	$298.42