Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Facility		$1,185.20	$1,185.20	$1,185.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,185.20 / $1,517.06	Professional		$1,007.42	$1,185.20	$1,517.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,333.35	Professional		$1,046.93	$1,046.93	$1,333.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,056.00 / $1,827.94	Professional		$1,056.00	$1,056.00	$1,827.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,214.95	Professional		$1,185.20	$1,185.20	$1,214.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93