Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $6,606.93	Professional		$4,677.35	$5,495.41	$6,606.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $6,025.60	Professional		$4,897.79	$5,370.32	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $10,000.00	Professional		$6,760.83	$7,762.47	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,128.61	Facility		$2,818.38	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $5,495.41	Professional		$2,818.38	$3,019.95	$5,495.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44