Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,781.36 / $9,879.32 / $22,355.30	Facility		$2,781.36	$9,879.32	$22,355.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $627.36 / $10,608.00	Professional		$612.60	$627.36	$10,608.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.36 / $645.88 / $1,058.01	Facility		$584.36	$645.88	$1,058.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.99 / $701.17 / $876.46	Professional		$595.99	$701.17	$876.46
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $646.12	Professional		$615.05	$615.05	$646.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00