Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,190.00 / $1,190.00	Facility		$1,190.00	$1,190.00	$1,190.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,190.00 / $1,523.20	Professional		$1,162.00	$1,190.00	$1,523.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,128.57 / $1,128.57 / $1,128.57	Professional		$1,128.57	$1,128.57	$1,128.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.75 / $998.15 / $1,621.11	Professional		$787.75	$998.15	$1,621.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,435.14	Professional		$1,400.00	$1,400.00	$1,435.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00