Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.94 / $5,809.36 / $8,789.04	Facility		$1,088.94	$5,809.36	$8,789.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $1,747.63 / $26,515.31	Professional		$1,730.31	$1,747.63	$26,515.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,737.10	Professional		$1,730.32	$1,730.32	$1,737.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,203.71	Professional		$1,730.32	$1,730.32	$2,203.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,939.05	Professional		$1,730.32	$1,730.32	$1,939.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,926.21 / $2,266.89	Professional		$1,730.32	$1,926.21	$2,266.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,666.78 / $1,666.78 / $1,666.78	Professional		$1,666.78	$1,666.78	$1,666.78