Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $4,073.80	Professional		$1,412.54	$1,698.24	$4,073.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,995.26	Professional		$1,412.54	$1,659.59	$1,995.26
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 $1,412.54 / $2,041.74 / $4,073.80	Professional		$1,412.54	$2,041.74	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,818.38	Professional		$1,513.56	$1,737.80	$2,818.38
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 $1,258.93 / $1,819.70 / $3,090.30	Professional		$1,258.93	$1,819.70	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,344.23	Professional		$1,380.38	$1,949.84	$2,344.23