Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,949.84	Professional		$776.25	$1,023.29	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $977.24	Professional		$794.33	$891.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $489.78 / $512.86	Facility		$416.87	$489.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,905.46	Professional		$660.69	$870.96	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,513.56	Professional		$891.25	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,621.81	Professional		$602.56	$812.83	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,288.25	Professional		$691.83	$933.25	$1,288.25