Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.04 / $1,725.04 / $1,725.04	Facility		$1,725.04	$1,725.04	$1,725.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,524.87	Professional		$1,452.25	$1,452.25	$1,524.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $116.68 / $116.68	Professional		$116.68	$116.68	$116.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,849.57	Professional		$1,452.25	$1,452.25	$1,849.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.41 / $1,452.25 / $2,699.85	Professional		$1,234.41	$1,452.25	$2,699.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,999.83 / $2,999.83 / $2,999.83	Facility		$2,999.83	$2,999.83	$2,999.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,539.39	Professional		$1,452.25	$1,452.25	$1,539.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,557.99 / $1,557.99 / $1,902.45	Professional		$1,557.99	$1,557.99	$1,902.45