Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,794.98 / $5,794.98 / $5,794.98	Facility		$5,794.98	$5,794.98	$5,794.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.29 / $739.40 / $2,093.02	Professional		$469.29	$739.40	$2,093.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.01 / $545.70 / $624.89	Professional		$491.01	$545.70	$624.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.11 / $797.27 / $1,618.37	Professional		$502.11	$797.27	$1,618.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.38 / $994.28 / $1,717.35	Professional		$769.38	$994.28	$1,717.35
United Facility/Professional Professional Modifier Low / Median / High Price $613.22 / $901.80 / $1,520.01	Professional		$613.22	$901.80	$1,520.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.08 / $886.37 / $1,093.33	Professional		$435.08	$886.37	$1,093.33