Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,398.83	Professional		$1,000.00	$1,258.93	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $2,089.30 / $2,398.83	Professional		$89.13	$2,089.30	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $2,398.83	Professional		$676.08	$1,148.15	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,890.45 / $4,786.30	Professional		$1,047.13	$3,890.45	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,995.26 / $4,897.79	Facility		$72.44	$1,995.26	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,128.61	Professional		$2,089.30	$2,884.03	$5,128.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $2,691.53	Professional		$1,698.24	$2,398.83	$2,691.53