Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.08 / $1,269.90 / $1,269.90	Professional		$1,225.08	$1,269.90	$1,269.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,361.70 / $1,361.70 / $1,361.70	Professional		$1,361.70	$1,361.70	$1,361.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.34 / $1,297.34 / $1,441.50	Professional		$1,297.34	$1,297.34	$1,441.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,313.48	Professional		$1,245.00	$1,245.00	$1,313.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $291.27	Professional		$291.27	$291.27	$291.27