Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,858.80 / $2,858.80 / $2,858.80	Facility		$2,858.80	$2,858.80	$2,858.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $203.31 / $519.11	Professional		$162.28	$203.31	$519.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $194.46 / $213.91	Professional		$162.56	$194.46	$213.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $249.39 / $455.20	Professional		$162.16	$249.39	$455.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.31 / $282.91 / $372.35	Professional		$219.31	$282.91	$372.35
United Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $158.00 / $196.21	Facility		$112.00	$158.00	$196.21
United Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $269.08 / $416.52	Professional		$179.74	$269.08	$416.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.31 / $252.21 / $312.72	Professional		$219.31	$252.21	$312.72