Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.57 / $2,220.57 / $2,220.57	Facility		$2,220.57	$2,220.57	$2,220.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,171.90	Professional		$2,068.46	$2,068.46	$2,171.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Professional		$258.39	$258.39	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,634.37	Professional		$2,068.46	$2,068.46	$2,634.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.20 / $2,068.46 / $3,091.37	Professional		$1,758.20	$2,068.46	$3,091.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,192.58	Professional		$2,068.46	$2,068.46	$2,192.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,709.70	Professional		$2,068.46	$2,068.46	$2,709.70