Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.94 / $1,696.68 / $2,446.23	Professional		$1,427.94	$1,696.68	$2,446.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,253.40 / $2,253.40 / $2,387.14	Professional		$2,253.40	$2,253.40	$2,387.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $2,160.00	Facility		$2,160.00	$2,160.00	$2,160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $1,836.00 / $2,160.00	Professional		$1,836.00	$1,836.00	$2,160.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,618.51 / $3,087.00 / $4,105.71	Professional		$2,618.51	$3,087.00	$4,105.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,232.42 / $1,714.58 / $2,611.19	Professional		$1,232.42	$1,714.58	$2,611.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,228.40 / $2,228.40 / $2,805.94	Professional		$2,228.40	$2,228.40	$2,805.94