Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.54 / $1,922.54 / $1,922.54	Facility		$1,922.54	$1,922.54	$1,922.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $574.63 / $1,066.29	Professional		$400.27	$574.63	$1,066.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $483.50 / $484.24 / $571.11	Professional		$483.50	$484.24	$571.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $513.90 / $1,018.46	Facility		$485.00	$513.90	$1,018.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.04 / $553.03 / $1,042.51	Professional		$408.04	$553.03	$1,042.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.15 / $692.60 / $903.39	Professional		$572.15	$692.60	$903.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.41 / $552.97 / $1,024.98	Professional		$442.41	$552.97	$1,024.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.40 / $496.08 / $692.60	Professional		$453.40	$496.08	$692.60