Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,168.09 / $3,168.09 / $3,168.09	Facility		$3,168.09	$3,168.09	$3,168.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $166.39 / $326.27	Professional		$117.37	$166.39	$326.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $153.04 / $165.02	Professional		$146.04	$153.04	$165.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $90.22 / $335.55	Facility		$76.69	$90.22	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $159.02 / $297.80	Professional		$118.67	$159.02	$297.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $192.95 / $269.54	Professional		$159.38	$192.95	$269.54
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $158.99 / $325.24	Professional		$124.11	$158.99	$325.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $142.68 / $192.95	Professional		$127.43	$142.68	$192.95