Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.22 / $1,123.22 / $1,123.22	Facility		$1,123.22	$1,123.22	$1,123.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.31 / $307.58 / $792.20	Professional		$285.31	$307.58	$792.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $347.98 / $359.33 / $397.74	Professional		$347.98	$359.33	$397.74
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 $290.45 / $416.72 / $870.65	Professional		$290.45	$416.72	$870.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.79 / $454.28 / $753.41	Professional		$349.79	$454.28	$753.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.41 / $380.79 / $703.56	Professional		$271.41	$380.79	$703.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.60 / $402.26 / $495.84	Professional		$295.60	$402.26	$495.84