Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,541.45 / $5,541.45 / $5,541.45	Facility		$5,541.45	$5,541.45	$5,541.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $200.78 / $534.52	Professional		$147.32	$200.78	$534.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $186.10 / $206.59	Professional		$180.23	$186.10	$206.59
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 $165.59 / $247.84 / $538.96	Professional		$165.59	$247.84	$538.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.43 / $307.57 / $514.79	Professional		$238.43	$307.57	$514.79
United Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $254.28 / $504.58	Professional		$167.21	$254.28	$504.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $274.19 / $337.80	Professional		$177.81	$274.19	$337.80