Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.00 / $2,481.39 / $4,320.00	Facility		$2,122.00	$2,481.39	$4,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,700.00 / $2,700.00	Professional		$2,340.00	$2,700.00	$2,700.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $2,880.00 / $3,283.20	Professional		$2,880.00	$2,880.00	$3,283.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $1,908.00 / $2,800.00	Professional		$1,908.00	$1,908.00	$2,800.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $6,285.60	Professional		$3,600.00	$4,320.00	$6,285.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,620.00 / $3,146.98	Professional		$1,512.00	$1,620.00	$3,146.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Professional		$1,800.00	$1,800.00	$1,800.00