Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,875.60 / $3,875.60 / $3,875.60	Facility		$3,875.60	$3,875.60	$3,875.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.06 / $366.51 / $1,126.31	Professional		$363.06	$366.51	$1,126.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.70 / $467.47 / $600.00	Professional		$452.70	$467.47	$600.00
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 $377.91 / $546.58 / $1,109.39	Professional		$377.91	$546.58	$1,109.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.77 / $592.87 / $961.33	Professional		$445.77	$592.87	$961.33
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 $359.75 / $520.61 / $912.19	Professional		$359.75	$520.61	$912.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.12 / $512.64 / $632.44	Professional		$384.12	$512.64	$632.44