Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.62 / $1,972.80 / $3,396.69	Facility		$178.62	$1,972.80	$3,396.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $2,712.76 / $4,052.70	Professional		$157.83	$2,712.76	$4,052.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $184.48 / $210.86	Professional		$182.50	$184.48	$210.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,467.96 / $4,467.96 / $4,467.96	Facility		$4,467.96	$4,467.96	$4,467.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $2,399.38 / $6,269.61	Professional		$180.31	$2,399.38	$6,269.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,669.01 / $3,443.02 / $6,468.64	Professional		$2,669.01	$3,443.02	$6,468.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,006.26 / $4,524.39 / $6,792.26	Professional		$3,006.26	$4,524.39	$6,792.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,669.01 / $3,069.36 / $3,775.07	Professional		$2,669.01	$3,069.36	$3,775.07