Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,510.25 / $6,510.25 / $6,510.25	Facility		$6,510.25	$6,510.25	$6,510.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $1,014.25 / $1,380.77	Professional		$761.10	$1,014.25	$1,380.77
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.17 / $152.13 / $161.19	Professional	55	$114.17	$152.13	$161.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $879.00 / $879.00 / $922.95	Professional		$879.00	$879.00	$922.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $3,735.22	Facility		$485.00	$513.90	$3,735.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.93 / $938.34 / $1,507.38	Professional		$736.93	$938.34	$1,507.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.06 / $969.93 / $1,302.08	Professional		$868.06	$969.93	$1,302.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,118.00 / $2,118.00 / $2,118.00	Facility		$2,118.00	$2,118.00	$2,118.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.73 / $905.58 / $1,740.84	Professional		$747.73	$905.58	$1,740.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $729.15 / $913.28 / $998.27	Professional		$729.15	$913.28	$998.27