Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,053.85 / $5,053.85 / $5,053.85	Facility		$5,053.85	$5,053.85	$5,053.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $233.77 / $630.12	Professional		$216.16	$233.77	$630.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $243.24 / $348.76	Professional		$235.56	$243.24	$348.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $171.97 / $171.97	Facility		$171.97	$171.97	$171.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $317.10 / $616.14	Professional		$217.17	$317.10	$616.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $329.15 / $530.35	Professional		$251.72	$329.15	$530.35
United Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $292.48 / $492.89	Professional		$200.37	$292.48	$492.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.68 / $289.48 / $350.12	Professional		$225.68	$289.48	$350.12