Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,786.30	Professional		$2,951.21	$3,630.78	$4,786.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $7,762.47	Professional		$5,128.61	$5,128.61	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $426.58 / $5,128.61	Facility		$75.86	$426.58	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $4,570.88 / $4,570.88	Professional		$478.63	$4,570.88	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $8,912.51	Professional		$5,011.87	$6,456.54	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,238.72 / $3,890.45	Facility		$295.12	$2,238.72	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $6,309.57	Professional		$2,818.38	$3,548.13	$6,309.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,677.35	Professional		$4,570.88	$4,570.88	$4,677.35