Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.85 / $1,914.85 / $1,914.85	Facility		$1,914.85	$1,914.85	$1,914.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $42.28 / $118.54	Professional		$40.04	$42.28	$118.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $53.46 / $58.33	Professional		$47.40	$53.46	$58.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $64.98 / $119.64	Professional		$44.91	$64.98	$119.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $64.84 / $104.92	Professional		$50.26	$64.84	$104.92
United Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $56.72 / $108.36	Professional		$42.30	$56.72	$108.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $57.80 / $71.06	Professional		$46.97	$57.80	$71.06