Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $2,580.60 / $6,263.40	Facility		$62.79	$2,580.60	$6,263.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.15 / $692.71 / $2,447.00	Professional		$501.15	$692.71	$2,447.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $573.04 / $654.99 / $694.07	Professional		$573.04	$654.99	$694.07
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 $499.43 / $716.00 / $1,521.27	Professional		$499.43	$716.00	$1,521.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.95 / $800.46 / $1,306.52	Professional		$613.95	$800.46	$1,306.52
United Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $638.54 / $1,376.35	Professional		$441.38	$638.54	$1,376.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $706.04 / $870.41	Professional		$484.22	$706.04	$870.41