Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,722.98	Professional		$1,640.93	$1,640.93	$1,722.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,089.86	Professional		$1,640.93	$1,640.93	$2,089.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.07 / $1,394.79 / $1,640.93	Professional		$1,359.07	$1,394.79	$1,640.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,639.90 / $1,640.93 / $1,731.18	Professional		$1,639.90	$1,640.93	$1,731.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,335.38 / $1,335.38 / $2,149.62	Professional		$1,335.38	$1,335.38	$2,149.62