Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,633.39 / $2,633.39 / $2,633.39	Facility		$2,633.39	$2,633.39	$2,633.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.01 / $2,633.39 / $3,269.60	Professional		$783.01	$2,633.39	$3,269.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.98 / $3,657.25 / $4,138.43	Professional		$295.98	$3,657.25	$4,138.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $340.11 / $1,675.27	Facility		$340.11	$340.11	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.69 / $315.01 / $598.12	Professional		$205.69	$315.01	$598.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $346.61 / $532.99	Professional		$268.69	$346.61	$532.99
United Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $1,630.02 / $2,968.06	Professional		$243.75	$1,630.02	$2,968.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $3,850.92 / $4,813.64	Professional		$70.50	$3,850.92	$4,813.64