Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,162.28	Professional		$1,047.13	$1,380.38	$3,162.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,479.11	Professional		$977.24	$1,230.27	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,090.30	Professional		$1,023.29	$1,513.56	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Professional		$1,122.02	$1,288.25	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,290.87	Professional		$933.25	$1,318.26	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $1,698.24	Professional		$891.25	$1,445.44	$1,698.24