Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $3,715.35	Professional		$1,202.26	$1,412.54	$3,715.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,949.84	Professional		$1,412.54	$1,584.89	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,090.30	Professional		$1,230.27	$1,698.24	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,398.83	Professional		$1,288.25	$1,445.44	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $2,884.03	Facility		$776.25	$1,174.90	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,754.23	Professional		$1,096.48	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,995.26	Professional		$1,230.27	$1,548.82	$1,995.26