Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,633.61 / $1,633.61 / $1,633.61	Professional		$1,633.61	$1,633.61	$1,633.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $4,791.60	Professional		$3,960.00	$3,960.00	$4,791.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.50 / $2,623.50 / $2,623.50	Professional		$2,623.50	$2,623.50	$2,623.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,795.28 / $5,445.00 / $7,425.00	Professional		$4,795.28	$5,445.00	$7,425.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,256.63 / $2,475.00	Professional		$1,055.57	$1,256.63	$2,475.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,475.00 / $2,475.00 / $2,475.00	Professional		$2,475.00	$2,475.00	$2,475.00