Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $1,789.55 / $1,789.55	Facility		$1,789.55	$1,789.55	$1,789.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,068.38	Professional		$1,969.89	$1,969.89	$2,068.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,508.82	Professional		$1,969.89	$1,969.89	$2,508.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.41 / $1,969.89 / $2,431.94	Professional		$1,674.41	$1,969.89	$2,431.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,702.16 / $2,702.16 / $2,702.16	Facility		$2,702.16	$2,702.16	$2,702.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,078.23	Professional		$1,969.89	$1,969.89	$2,078.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $2,580.56	Professional		$1,789.55	$1,969.89	$2,580.56