Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,398.83 / $5,248.07	Facility		$208.93	$2,398.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $977.24 / $5,128.61	Professional		$257.04	$977.24	$5,128.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $398.11	Professional		$234.42	$263.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,445.44 / $4,265.80	Professional		$251.19	$1,445.44	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,801.89	Professional		$1,819.70	$2,454.71	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $851.14 / $3,467.37	Professional		$263.03	$851.14	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $3,388.44	Professional		$1,905.46	$2,818.38	$3,388.44