Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,092.83 / $1,542.83	Professional		$1,028.55	$1,092.83	$1,542.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,135.69 / $1,135.69	Professional		$1,135.69	$1,135.69	$1,135.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Facility		$1,092.83	$1,092.83	$1,092.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.83 / $1,092.83 / $1,092.83	Professional		$1,092.83	$1,092.83	$1,092.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $548.57 / $815.84	Professional		$429.66	$548.57	$815.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,192.70 / $1,296.41	Professional		$1,071.41	$1,192.70	$1,296.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,135.69 / $1,135.69 / $1,135.69	Professional		$1,135.69	$1,135.69	$1,135.69