Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.85 / $2,673.70 / $3,745.84	Professional		$1,463.85	$2,673.70	$3,745.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,936.51 / $3,936.51 / $3,936.51	Professional		$3,936.51	$3,936.51	$3,936.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,550.00 / $4,550.00 / $4,550.00	Facility		$4,550.00	$4,550.00	$4,550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $389.53	Professional		$248.35	$248.35	$389.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,790.00 / $2,790.00 / $2,790.00	Professional		$2,790.00	$2,790.00	$2,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.32 / $267.89 / $1,747.10	Professional		$234.32	$267.89	$1,747.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,769.32 / $2,769.32 / $4,421.62	Professional		$2,769.32	$2,769.32	$4,421.62