Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,995.26	Professional		$616.60	$758.58	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $891.25	Professional		$660.69	$724.44	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,819.70	Professional		$630.96	$912.01	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,258.93	Professional		$660.69	$758.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,380.38	Professional		$562.34	$812.83	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,023.29	Professional		$602.56	$851.14	$1,023.29