Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,370.73 / $1,370.73	Facility		$1,370.73	$1,370.73	$1,370.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,498.82	Professional		$1,427.45	$1,427.45	$1,498.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Facility		$1,427.45	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,817.98	Professional		$1,427.45	$1,427.45	$1,817.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.33 / $1,427.45 / $1,641.57	Professional		$1,213.33	$1,427.45	$1,641.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,513.10	Professional		$1,427.45	$1,427.45	$1,513.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,370.73 / $1,427.45 / $1,869.96	Professional		$1,370.73	$1,427.45	$1,869.96