Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.15 / $1,991.15 / $1,991.15	Facility		$1,991.15	$1,991.15	$1,991.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.93 / $286.64 / $724.02	Professional		$242.93	$286.64	$724.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.87 / $341.17 / $389.95	Professional		$340.87	$341.17	$389.95
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 $260.95 / $384.49 / $747.14	Professional		$260.95	$384.49	$747.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $400.62 / $645.36	Professional		$301.22	$400.62	$645.36
United Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $343.97 / $658.03	Professional		$238.77	$343.97	$658.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $346.40 / $427.28	Professional		$266.61	$346.40	$427.28