Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $2,038.50 / $2,038.50	Facility		$2,038.50	$2,038.50	$2,038.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,997.75	Professional		$1,902.62	$1,902.62	$1,997.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $153.13 / $153.13	Professional		$153.13	$153.13	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,423.15	Professional		$1,902.62	$1,902.62	$2,423.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.23 / $1,902.62 / $2,273.14	Professional		$1,617.23	$1,902.62	$2,273.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,016.78	Professional		$1,902.62	$1,902.62	$2,016.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $68.68 / $2,492.42	Professional		$68.68	$68.68	$2,492.42