Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $12,302.69	Professional		$3,981.07	$5,248.07	$12,302.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $6,025.60	Professional		$3,981.07	$4,897.79	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,165.95 / $11,748.98	Professional		$4,168.69	$6,165.95	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $7,943.28	Professional		$4,570.88	$5,128.61	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $9,549.93	Professional		$3,890.45	$5,495.41	$9,549.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,623.41 / $6,760.83	Professional		$4,265.80	$5,623.41	$6,760.83