Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,824.50 / $2,824.50 / $2,824.50	Facility		$2,824.50	$2,824.50	$2,824.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $644.03	Professional		$555.20	$555.20	$644.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $1,003.00	Professional		$1,003.00	$1,003.00	$1,003.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $555.20 / $555.20	Facility		$555.20	$555.20	$555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $707.10	Professional		$555.20	$555.20	$707.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.92 / $555.20 / $2,427.62	Professional		$471.92	$555.20	$2,427.62
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $610.54	Professional		$555.20	$555.20	$610.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $2,824.50	Professional		$555.20	$555.20	$2,824.50