Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Facility		$530.00	$530.00	$530.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.38 / $2,784.38 / $2,923.60	Professional		$347.38	$2,784.38	$2,923.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $217.77 / $217.77	Professional		$217.77	$217.77	$217.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,570.00	Facility		$2,784.38	$2,784.38	$3,570.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,546.14	Professional		$2,784.38	$2,784.38	$3,546.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,227.50 / $2,784.38 / $3,780.00	Professional		$2,227.50	$2,784.38	$3,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,937.52	Professional		$2,784.38	$2,784.38	$2,937.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $93.93 / $3,647.54	Professional		$93.93	$93.93	$3,647.54