Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.05 / $1,857.47 / $8,827.25	Professional		$1,658.05	$1,857.47	$8,827.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,862.59 / $1,900.36 / $2,128.94	Professional		$1,862.59	$1,900.36	$2,128.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.70 / $2,228.75 / $4,359.63	Professional		$1,635.70	$2,228.75	$4,359.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.20 / $2,247.44 / $3,829.09	Professional		$1,742.20	$2,247.44	$3,829.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.54 / $2,015.56 / $3,414.36	Professional		$1,444.54	$2,015.56	$3,414.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,444.95 / $2,003.53 / $2,477.12	Professional		$1,444.95	$2,003.53	$2,477.12