Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $2,041.74	Professional		$467.74	$776.25	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $630.96	Professional		$467.74	$524.81	$630.96
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 $489.78 / $794.33 / $1,621.81	Professional		$489.78	$794.33	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,348.96	Professional		$676.08	$912.01	$1,348.96
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 $436.52 / $724.44 / $1,258.93	Professional		$436.52	$724.44	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,023.29 / $1,202.26	Professional		$436.52	$1,023.29	$1,202.26