Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.39 / $1,165.39 / $1,165.39	Facility		$1,165.39	$1,165.39	$1,165.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,231.19	Professional		$1,172.56	$1,172.56	$1,231.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.55 / $295.55 / $295.55	Professional		$295.55	$295.55	$295.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,172.56	Facility		$1,172.56	$1,172.56	$1,172.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.56 / $1,172.56 / $1,493.35	Professional		$1,172.56	$1,172.56	$1,493.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,126.52 / $1,251.69	Professional		$996.68	$1,126.52	$1,251.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.82 / $1,172.56 / $1,231.77	Professional		$1,171.82	$1,172.56	$1,231.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,165.39 / $1,172.56 / $1,536.05	Professional		$1,165.39	$1,172.56	$1,536.05