Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,570.40	Facility		$1,995.26	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,511.89 / $6,456.54	Professional		$154.88	$2,511.89	$6,456.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $213.80	Professional		$162.18	$177.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,187.76 / $5,495.41	Professional		$190.55	$2,187.76	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $5,754.40	Professional		$2,398.83	$3,162.28	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,905.46 / $5,754.40	Professional		$165.96	$1,905.46	$5,754.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,365.16	Professional		$2,691.53	$3,630.78	$4,365.16