Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,606.00 / $8,714.31 / $15,864.50	Facility		$4,606.00	$8,714.31	$15,864.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.27 / $1,053.85 / $2,824.34	Professional		$1,004.27	$1,053.85	$2,824.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.17 / $1,177.84 / $1,472.31	Professional		$1,001.17	$1,177.84	$1,472.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,085.38	Professional		$1,033.20	$1,033.20	$1,085.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,015.00 / $1,015.00	Professional		$1,015.00	$1,015.00	$1,015.00