Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,700.00 / $3,600.00	Professional		$2,340.00	$2,700.00	$3,600.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $2,880.00 / $3,283.20	Professional		$2,880.00	$2,880.00	$3,283.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,899.90 / $2,237.73 / $8,848.02	Professional		$1,899.90	$2,237.73	$8,848.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $4,320.00 / $5,400.00	Professional		$3,600.00	$4,320.00	$5,400.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $1,512.00	Facility		$1,512.00	$1,512.00	$1,512.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,800.00 / $3,275.93	Professional		$1,512.00	$1,800.00	$3,275.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,862.00 / $2,862.00	Professional		$1,800.00	$2,862.00	$2,862.00