Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.44 / $1,190.44 / $1,190.44	Facility		$1,190.44	$1,190.44	$1,190.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,299.15	Professional		$1,237.28	$1,237.28	$1,299.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $336.60 / $336.60	Professional		$336.60	$336.60	$336.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,575.79	Professional		$1,237.28	$1,237.28	$1,575.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.69 / $1,237.28 / $1,511.64	Professional		$1,051.69	$1,237.28	$1,511.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.97 / $1,237.28 / $1,305.33	Professional		$1,055.97	$1,237.28	$1,305.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,190.44 / $1,237.28 / $1,620.84	Professional		$1,190.44	$1,237.28	$1,620.84