Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Facility		$1,090.07	$1,090.07	$1,090.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $688.93	Professional		$656.12	$656.12	$688.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $129.27 / $129.27	Professional		$129.27	$129.27	$129.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $835.63	Professional		$656.12	$656.12	$835.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $656.12 / $1,501.38	Professional		$557.70	$656.12	$1,501.38
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $692.21	Professional		$656.12	$656.12	$692.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $1,090.07	Professional		$656.12	$656.12	$1,090.07