Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,073.80	Professional		$1,412.54	$1,819.70	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,089.30	Professional		$1,548.82	$1,698.24	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $4,265.80	Professional		$1,380.38	$2,187.76	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,884.03	Professional		$1,698.24	$1,949.84	$2,884.03
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 $1,288.25 / $1,905.46 / $3,311.31	Professional		$1,288.25	$1,905.46	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,570.40	Professional		$1,380.38	$2,137.96	$2,570.40