Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,174.90	Professional		$363.08	$467.74	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $588.84	Professional		$436.52	$489.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,047.13	Professional		$407.38	$549.54	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $758.58	Professional		$416.87	$467.74	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $870.96	Professional		$363.08	$501.19	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $616.60	Professional		$407.38	$512.86	$616.60