Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.42 / $2,719.99 / $5,501.40	Facility		$259.42	$2,719.99	$5,501.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.54 / $952.45 / $4,954.47	Professional		$207.54	$952.45	$4,954.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $312.24 / $398.29	Professional		$270.27	$312.24	$398.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,346.87 / $2,346.87 / $2,346.87	Facility		$2,346.87	$2,346.87	$2,346.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $1,629.91 / $4,156.35	Professional		$243.41	$1,629.91	$4,156.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,747.17 / $2,651.58 / $5,011.78	Professional		$1,747.17	$2,651.58	$5,011.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,619.82 / $2,350.69 / $3,961.32	Professional		$1,619.82	$2,350.69	$3,961.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,884.24 / $2,363.81 / $2,907.54	Professional		$1,884.24	$2,363.81	$2,907.54