Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $549.54	Professional		$158.49	$213.80	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $229.09	Professional		$169.82	$190.55	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $537.03	Professional		$165.96	$257.04	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Professional		$199.53	$269.15	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $389.05	Professional		$151.36	$223.87	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $363.08	Professional		$177.83	$302.00	$363.08