Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.18 / $1,713.18 / $1,713.18	Facility		$1,713.18	$1,713.18	$1,713.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,532.43	Professional		$1,393.12	$1,393.12	$1,532.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Professional		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,774.26	Professional		$1,393.12	$1,393.12	$1,774.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.15 / $1,393.12 / $2,106.91	Professional		$1,184.15	$1,393.12	$2,106.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,989.86	Professional		$1,393.12	$1,393.12	$1,989.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,824.99	Professional		$1,393.12	$1,393.12	$1,824.99